Individual
MICHAEL BROCKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 E 8TH ST STE 120, MARIETTA, OH 45750-3379
(740) 374-4273
Mailing address
108 TECUMSEH DR, MARIETTA, OH 45750-5435
(740) 374-4273
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35043094
OH
Other
Enumeration date
03/08/2006
Last updated
09/13/2024
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