Individual
JAMES BROTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
155 2ND ST SW, PERHAM, MN 56573-1410
(218) 422-6131
(218) 346-2060
Mailing address
155 2ND STREET SW, PERHAM, MN 56573
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BRO886390
DRIVERS LICENSE
ND
Enumeration date
03/01/2019
Last updated
03/01/2019
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