Individual
NATARAH B BROICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
225 SMITH AVE N STE 400, SAINT PAUL, MN 55102-2568
(651) 290-0133
(651) 241-2910
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-5000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11843
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013688700
—
FL
Enumeration date
10/31/2014
Last updated
05/04/2023
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