Individual
DR. MICHELLE A. BRODERICK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
82 MAINE ST, BRUNSWICK, ME 04011-2015
(207) 729-8474
(207) 729-8955
Mailing address
82 MAINE ST, BRUNSWICK, ME 04011-2015
(207) 729-8474
(207) 729-8955
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT767
ME
Other
Enumeration date
07/13/2005
Last updated
07/08/2007
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