Individual
BRODERICK STEFANIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
N1910 SCOUT RD, BIRCHWOOD, WI 54817-8906
(612) 261-2455
Mailing address
N1910 SCOUT RD, BIRCHWOOD, WI 54817-8906
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
70124316
WI
Other
Enumeration date
06/24/2026
Last updated
06/24/2026
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