Individual
PRICE BRODERICK ZIMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
400 STODDARD RD, RICHMOND, MI 48062-2505
(810) 392-2167
Mailing address
42 CRANFORD LN, GROSSE POINTE, MI 48230-1515
(313) 418-9211
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/23/2022
Last updated
06/27/2022
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