Individual
DR. BRIAN WILLIAM BRODERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
922 BROADWAY AVE N, ROCHESTER, MN 55906-6816
(507) 289-5838
(507) 536-2762
Mailing address
922 BROADWAY AVE N, ROCHESTER, MN 55906-6816
(507) 289-5838
(507) 536-2762
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D13668
MN
Other
Enumeration date
05/22/2016
Last updated
12/09/2020
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