MEDICARE: DR. CANDACE R BRAMSON MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	4301062056	MI

General Provider Information

NPI Number	:	1063722163
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CANDACE R BRAMSON MD

Provider Business Mailing Address
First Line	:	2012 DAY ST
Second Line	:
City	:	ANN ARBOR
State	:	MI
Zip	:	48104-3606
Country	:	US
Telephone Number	:	734-663-7740
Fax Number	:	860-686-8967

Provider Business Practice Location Address
First Line	:	2012 DAY ST
Second Line	:
City	:	ANN ARBOR
State	:	MI
Zip	:	48104-3606
Country	:	US
Telephone Number	:	734-663-7740
Fax Number	:	860-686-8967

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/07/2010
Last Update Date	:	10/07/2010

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