Individual
MICHAEL BROADWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
750 MORPHY AVE, FAIRHOPE, AL 36532-1812
(251) 435-7289
Mailing address
1725 SPRING HILL AVE, MOBILE, AL 36604-1402
(251) 435-7289
(318) 212-6752
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
44430
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2387944
—
LA
Enumeration date
04/17/2015
Last updated
07/27/2022
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