Provider Demographics
NPI:1982348645
Name:BRAWNER, MICHAEL C (ND)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:C
Last Name:BRAWNER
Suffix:
Gender:M
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8700 NE BOTHELL WAY APT D102
Mailing Address - Street 2:
Mailing Address - City:BOTHELL
Mailing Address - State:WA
Mailing Address - Zip Code:98011-3654
Mailing Address - Country:US
Mailing Address - Phone:206-643-7020
Mailing Address - Fax:
Practice Address - Street 1:8700 NE BOTHELL WAY APT D102
Practice Address - Street 2:
Practice Address - City:BOTHELL
Practice Address - State:WA
Practice Address - Zip Code:98011-3654
Practice Address - Country:US
Practice Address - Phone:206-643-7020
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-27
Last Update Date:2022-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath