Individual
MR. RONALD BRODFUEHRER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7133 PENDALE CIR, NORTH TONAWANDA, NY 14120-9714
(716) 400-6640
Mailing address
7133 PENDALE CIR, NORTH TONAWANDA, NY 14120-9714
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
447156
NY
Other
Enumeration date
02/09/2017
Last updated
02/09/2017
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