Provider Demographics
NPI:1245972587
Name:BRAUN, EMILIE JEAN (MD)
Entity type:Individual
Prefix:DR
First Name:EMILIE
Middle Name:JEAN
Last Name:BRAUN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6132 OLD GLORY LN
Mailing Address - Street 2:
Mailing Address - City:NEENAH
Mailing Address - State:WI
Mailing Address - Zip Code:54956-9718
Mailing Address - Country:US
Mailing Address - Phone:920-450-5068
Mailing Address - Fax:
Practice Address - Street 1:6132 OLD GLORY LN
Practice Address - Street 2:
Practice Address - City:NEENAH
Practice Address - State:WI
Practice Address - Zip Code:54956-9718
Practice Address - Country:US
Practice Address - Phone:920-450-5068
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-08
Last Update Date:2022-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program