Individual
MR. MICHAEL LAMONT BRONSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2512 E 38TH ST, MINNEAPOLIS, MN 55406-3020
(612) 433-1164
Mailing address
3822 SOURWOOD CT, LADSON, SC 29456-9604
(612) 875-0142
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
04/21/2022
Last updated
04/21/2022
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