Organization
BROMENN PHYSICIAN MANAGEMENT CORPORATION
Active
Organization
BROMENN PHYSICIAN MANAGEMENT CORPORATION
Active
Other names
ORTHOPEDIC SPORTS ENHANCEMENT CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM BROUWER (PRESIDENT,PHYSICIAN MGMNT CORP)
(309) 268-2129
Entity
Organization
Contact information
Practice address
2406 E EMPIRE ST, BLOOMINGTON, IL 61704-3630
(309) 663-9300
Mailing address
2406 E EMPIRE ST, BLOOMINGTON, IL 61704-3630
(309) 663-9300
Taxonomy
Speciality
Code
Description
License number
State
207RS0010X
Sports Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
10/28/2009
Last updated
10/28/2009
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