Individual
MICHAEL LEE BROEKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1110 YANKEE DOODLE RD, EAGAN, MN 55121-2092
(651) 454-3970
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-5000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
44301
MN
Other
Enumeration date
03/27/2006
Last updated
03/11/2021
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