Individual
MR. STEVEN WILSON BROUSSARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L. AC.
Contact information
Practice address
658 KENILWORTH DR, TOWSON, MD 21204-2312
(443) 838-3141
(410) 377-6168
Mailing address
918 WELLINGTON RD, BALTIMORE, MD 21212-1921
(443) 838-3141
(410) 377-6168
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
U01120
MD
Other
Enumeration date
02/03/2015
Last updated
02/03/2015
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