Individual
MICHELLE BROBERG II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
12055 WEST 2ND PLAZA, LAKEWOOD, CO 80228
(303) 425-0300
Mailing address
3805 W. 26TH AVE, DENVER, CO 80211
(720) 878-2923
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
B6J5Y9K5
CO
Other
Enumeration date
12/30/2014
Last updated
12/30/2014
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