Individual
SIDNEY M BRODER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4605 GENESYS PKWY, GRAND BLANC, MI 48439-8067
(810) 606-9393
Mailing address
1414 LAKESIDE DR, BIRMINGHAM, MI 48009-1062
(248) 644-4223
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
48274
MI
Other
Enumeration date
11/20/2006
Last updated
07/08/2007
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