Healthcare Provider Details

I. General information

NPI: 1831415082
Provider Name (Legal Business Name): BRITTANY RABURN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/13/2010
Last Update Date: 02/24/2021
Certification Date: 10/01/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1513 S MAIN ST
CHELSEA MI
48118-1434
US

IV. Provider business mailing address

24 FRANK LLOYD WRIGHT DR LBBY J2000
ANN ARBOR MI
48105-9484
US

V. Phone/Fax

Practice location:
  • Phone: 734-475-9175
  • Fax: 734-475-0120
Mailing address:
  • Phone: 734-747-6766
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number4301107119
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: