Individual
SAMANTHA BROOMFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5555 N PORT WASHINGTON RD STE 300, GLENDALE, WI 53217-4928
(414) 962-6764
Mailing address
4832 N CUMBERLAND BLVD, MILWAUKEE, WI 53217-6026
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/30/2025
Last updated
06/30/2025
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