Individual
MICHAEL BRODER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1011 ROCK QUARRY RD, RALEIGH, NC 27610-3825
(919) 833-3111
Mailing address
1011 ROCK QUARRY RD, RALEIGH, NC 27610-3825
(919) 833-3111
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
317878
NC
Other
Enumeration date
04/07/2020
Last updated
11/01/2023
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