Organization
BROADSTONE MEDICAL, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY HERRERA (CLINICAL OPERATIONS MANAGER)
(920) 915-6995
Entity
Organization
Contact information
Practice address
8530 EAGLE POINT BLVD STE 100, LAKE ELMO, MN 55042-8648
(231) 432-5841
Mailing address
222 LAKEVIEW AVE STE 735, WEST PALM BEACH, FL 33401-6145
(231) 432-5841
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
09/23/2022
Last updated
03/26/2026
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