Individual
MELISSA A BROEDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
1414 W FAIR AVE, STE 201, MARQUETTE, MI 49855-5406
(906) 225-4500
(906) 225-3919
Mailing address
301 EXPLORER ST, GWINN, MI 49841-2813
(906) 346-4924
(906) 346-6474
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601004115
MI
Other
Enumeration date
06/13/2005
Last updated
04/14/2021
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