Individual
DR. MEDRO JOSEPH BRODEUR III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
531 E WASHINGTON AVE, OWENSVILLE, MO 65066-1410
(573) 437-8004
(573) 437-8004
Mailing address
531 E WASHINGTON AVE, OWENSVILLE, MO 65066-1410
(573) 437-8004
(573) 437-8004
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T02435
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
311695118
—
MO
Enumeration date
01/25/2006
Last updated
08/04/2016
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