# ANDREW MARTIN BROSELOW

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1619930328
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 30150 | OK | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | K3559 | TX | — |

## Other

- **Enumeration date:** 04/11/2006
- **Last updated:** 09/17/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 045318505 | — | TX |