Individual
DR. MANUEL BROCKMAN
Active
Individual
DR. MANUEL BROCKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
04-46674
KS
207R00000X
Internal Medicine Physician
Primary
40229
OK
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
2021026162
MO
Other
Enumeration date
04/24/2018
Last updated
09/13/2025
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