Provider Demographics
NPI:1063722163
Name:BRAMSON, CANDACE R (MD)
Entity type:Individual
Prefix:DR
First Name:CANDACE
Middle Name:R
Last Name:BRAMSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2012 DAY ST
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48104-3606
Mailing Address - Country:US
Mailing Address - Phone:734-663-7740
Mailing Address - Fax:860-686-8967
Practice Address - Street 1:2012 DAY ST
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48104-3606
Practice Address - Country:US
Practice Address - Phone:734-663-7740
Practice Address - Fax:860-686-8967
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-07
Last Update Date:2010-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301062056207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine