Individual
MICHAEL JAMES BROUSSARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
615 S BELTLINE HWY E STE B, SCOTTSBLUFF, NE 69361-3510
(402) 742-0311
Mailing address
615 S BELTLINE HWY E STE B, SCOTTSBLUFF, NE 69361-3510
(402) 742-0311
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
NE
Other
Enumeration date
04/02/2026
Last updated
04/02/2026
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