Individual
DR. MICHELE BROADHURST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
1012 UNION ST, BANGOR, ME 04401-3060
(207) 404-8100
(207) 947-0435
Mailing address
PO BOX 1599, BANGOR, ME 04402-1599
(207) 404-8200
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CR2352
ME
Other
Enumeration date
03/19/2018
Last updated
11/06/2018
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