Individual
DR. MICHAEL J BRODERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
17201 WRIGHT ST STE 203, OMAHA, NE 68130-2042
(402) 691-5102
Mailing address
17201 WRIGHT ST STE 203, OMAHA, NE 68130-2042
(402) 691-5102
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12870
NE
Other
Enumeration date
06/07/2011
Last updated
10/08/2014
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