Individual
ALBERT E BROSKY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1900 COLUMBUS AVE, BAY CITY, MI 48708-6831
(989) 894-3795
Mailing address
PO BOX 660857, DALLAS, TX 75266-0857
(972) 715-5000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
5101007396
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0556301235
BCBS
MI
05
—
1958185-11
—
MI
01
—
5823578
AETNA
MI
01
—
P00989394
RAILROAD
MI
Enumeration date
03/30/2007
Last updated
03/21/2012
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