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Individual

LAURIE S BROGHAMMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPM

Contact information

Practice address
859 MANKATO AVENUE, WINONA, MN 55987
(507) 454-3680
(507) 457-7672
Mailing address
859 MANKATO AVENUE, WINONA CLINIC LTD, WINONA, MN 55987
(507) 454-3680
(507) 457-7672

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
729
MN

Other

Enumeration date
08/08/2006
Last updated
07/08/2007
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