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Organization
MICHAEL L. BRODIE
Active
Organization
MICHAEL L. BRODIE
Active
Other names
Long Term Care Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL LEE BRODIE M.D (OWNER)
(209) 656-9517
Entity
Organization
Contact information
Practice address
2211 N JOHNSON RD, TURLOCK, CA 95382-6723
(209) 656-9517
(209) 656-9870
Mailing address
PO BOX 1537, TURLOCK, CA 95381-1537
(209) 656-9517
(209) 656-9870
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0105910
—
CA
Enumeration date
09/28/2006
Last updated
01/17/2013
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