Individual
DR. MARK A. BROBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
520 N CHELAN AVE, WENATCHEE, WA 98801-6697
(509) 662-2211
(509) 662-8756
Mailing address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
(509) 663-8711
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD00022773
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1174529804
—
WA
01
—
322544
WVH LNI
WA
01
—
P01257508
RR MEDICARE WVH
WA
Enumeration date
06/27/2005
Last updated
07/14/2015
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