Individual
RICHARD BRODBECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8247 PAWNEE TRL, PINCKNEY, MI 48169-9396
(810) 819-6222
Mailing address
8247 PAWNEE TRL, PINCKNEY, MI 48169-9396
(810) 819-6222
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
4704196726
MI
Other
Enumeration date
12/09/2020
Last updated
12/09/2020
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