Individual
DR. ELISABETH BRODEUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 GENESYS PKWY, STE 4595, GRAND BLANC, MI 48439-8065
(810) 606-5126
Mailing address
1 GENESYS PKWY, STE 4595, GRAND BLANC, MI 48439-8065
(810) 606-5126
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301107214
MI
Other
Enumeration date
05/29/2015
Last updated
06/17/2016
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