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Individual

DR. JONATHAN THOMAS BROADWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3201 HALLMARK CT, SAGINAW, MI 48603-2109
(989) 746-7500
Mailing address
1000 HOUGHTON AVE, SAGINAW, MI 48602-5303

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
4301505464
MI
2084P0805X
Geriatric Psychiatry Physician
Primary
4301505464
MI

Other

Enumeration date
06/11/2019
Last updated
06/19/2024
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