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Contact Information

KYLE BRAULICK
5025 EDINBURGH WAY
BIG LAKE, MN55309-8271
 Phone: 507-276-6102
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Medicine

2081S0010X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for KYLE BRAULICK · (Male)

NPI Number 1932502267
Status Active
Credentials
Entity Individual
Enumeration date 10/01/2014
Last updated 10/01/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 2000003555
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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