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Individual
MICHAEL JAMES BRODY
Active
Individual
MICHAEL JAMES BRODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
01073650A
IN
207X00000X
Orthopaedic Surgery Physician
125-06285
IL
207X00000X
Orthopaedic Surgery Physician
Primary
64696
WI
207XS0106X
Orthopaedic Hand Surgery Physician
01073650A
IN
207XS0106X
Orthopaedic Hand Surgery Physician
64696
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100048706
—
WI
05
—
201240950
—
IN
Enumeration date
08/14/2009
Last updated
06/24/2022
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