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Michael Brakeall, LCDC II

NPI 1063922490 · on the registry since 2017

Practice

Address
1 Elizabeth Pl
Dayton, OH 45417
Phone
(937) 813-1737
Organisation at this address
Umadaop
Mvhe Inc
Camal Llc
Kenvic Inc
Med Transit
Inferred from a shared address, not stated in the registry.
Clinicians at this address
452

Additional practice sites

  • 3095 Kettering Blvd, Moraine, OH

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Also registered as
101YA0400X
101YA0400X
171M00000X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-05-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio