Individual
MR. MICHAEL N BRODOSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
37650 PROFESSIONAL CTR DR STE 125 A, LIVONIA, MI 48154
(734) 953-0233
(734) 462-1496
Mailing address
37650 PROFESSIONAL CTR DR STE 125 A, LIVONIA, MI 48154
(734) 953-0233
(734) 462-1496
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
540220276
BCBS
MI
Enumeration date
02/12/2007
Last updated
12/01/2009
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