Individual
ANDREW MARTIN BROSELOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1800 S DOUGLAS BLVD, RENAISSANCE OB/GYN, MIDWEST CITY, OK 73130-6224
(405) 733-4985
Mailing address
1800 S DOUGLAS BLVD, RENAISSANCE OB/GYN, MIDWEST CITY, OK 73130-6224
(405) 733-4985
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
30150
OK
207V00000X
Obstetrics & Gynecology Physician
K3559
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
045318505
—
TX
Enumeration date
04/11/2006
Last updated
09/17/2013
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