Individual
ANTONIO BROADEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
45964 BRENTWOOD ST, MACOMB, MI 48042-5410
(586) 948-0665
(586) 948-0667
Mailing address
45964 BRENTWOOD ST, MACOMB, MI 48042-5410
(586) 948-0665
(586) 948-0667
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
MI
Other
Enumeration date
04/21/2026
Last updated
04/21/2026
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