Braza, Diane W

Braza, Diane W is an individual health care provider with primary practice located at 1155 N Mayfair Rd Spine Care Clinic At Plank Road, Milwaukee WI 53226-3421. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Braza, Diane W can be contacted via phone (414) 955-7199.

Contact Information

Primary practice address
1155 N Mayfair Rd Spine Care Clinic At Plank Road Milwaukee WI 53226-3421
Fax: (414) 955-0110
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 29706 Wisconsin

Profile Details

NPI number 1467404970
LBN Legal business name Braza, Diane W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Feb 8th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467404970 NPPES
Other 002000176N HUMANA
MEDICAID 1467404970 HUMANA

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