JOHN M BRACE

Dr JOHN M BRACE is a male medical professional, specializing in Otolaryngology. He graduated in 1969 from Kansas City College Of Medicine And Surgery.

Contact

2334 LAKE AVE
ASHTABULA
OH
440043499

Tel:

JOHN M BRACE Information

Npi 1649278417
Pac Id 8325164346
Professional Enrollment Id I20100928000860
Last Name BRACE
First Name JOHN
Middle Name M
Suffix
Gender M
Credential
Medical School Name KANSAS CITY COLLEGE OF MEDICINE AND SURGERY
Graduation Year 1969
Primary Specialty OTOLARYNGOLOGY
Secondary Specialty 1 ALLERGY/IMMUNOLOGY
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties ALLERGY/IMMUNOLOGY
Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 2334 LAKE AVE
Line 2 Street Address
Marker Of Address Line 2 Suppression
City ASHTABULA
State OH
Zip Code 440043499
Phone Number
Hospital Affiliation Ccn 1 360125
Hospital Affiliation Lbn 1 ASHTABULA COUNTY MEDICAL CENTER
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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