Individual
ALAIN F BROCCARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1700 UNIVERSITY AVE W FL 6, SAINT PAUL, MN 55104-3727
(651) 232-2273
Mailing address
10933 HUMBOLDT AVE S, MINNEAPOLIS, MN 55431-4221
(612) 638-7764
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01075203A
IN
207R00000X
Internal Medicine Physician
39304
MN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
01075203A
IN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
277095
NY
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
39304
MN
207RP1001X
Pulmonary Disease Physician
01075203A
IN
207RP1001X
Pulmonary Disease Physician
277095
NY
207RP1001X
Pulmonary Disease Physician
39304
MN
207RS0012X
Sleep Medicine (Internal Medicine) Physician
277095
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
290218400
—
MN
Enumeration date
02/24/2006
Last updated
04/09/2018
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