Whalio Doctors

NPI 1376585240

Joan L Brauckmann, MD

Practitioner Allergy & Immunology Physician Williamsburg, VA

Practice location

Address
1144 Professional Dr, Williamsburg, VA 23185-3330
Phone
(757) 259-0443
Fax
(757) 259-0450
Mailing address
PO Box 2086, Skyland, NC 28776-2086

Registered specialties

Allergy & Immunology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207K00000X Licence 0101055718 (VA)

Registry record

NPI
1376585240
Entity type
Individual
Sex (as registered)
Female
NPI issued
12 Jun 2006
Record last updated
31 Oct 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.