Individual
DANIELLE K BRODBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AT, ATC
Contact information
Practice address
2516 NORMANDY DR SE APT 302C, GRAND RAPIDS, MI 49506-7947
(517) 977-5432
Mailing address
2516 NORMANDY DR SE APT 302C, GRAND RAPIDS, MI 49506-7947
(517) 977-5432
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2601001968
MI
Other
Enumeration date
01/04/2018
Last updated
01/04/2018
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