Karen Branstrom, RT
Individual provider Active NPI Radiography Radiologic Technologist · Rapid River, MI
NPI 1669739348 · NPPES record last updated Apr 18, 2012
Key facts
- NPI
- 1669739348
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Radiography Radiologic Technologist 2471C3402X
- License
- 440816 (MI)
- Practice address
- 12210 Friday Q.1 Rd
Rapid River, MI 49878-9782 - Phone
- (906) 630-0464
- NPI assigned
- Apr 18, 2012
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 440816 | MI | MD | Radiography Radiologic Technologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiography Radiologic Technologist | 2471C3402X | 440816 | MI | Yes |
Addresses
Primary practice location
12210 Friday Q.1 Rd
Rapid River, MI 49878-9782
Mailing address
12210 Friday Q.1 Rd
Rapid River, MI 49878-9782
Other providers in Rapid River, MI
- Carmella Cole
- Divine Nursing Interventions Home Health Care LLC
- Margaret A Gauger
- Ian Christian Helsel
- Averi M Kanyuh
All providers in Rapid River, MI · Radiography Radiologic Technologist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 18, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.