Individual
MR. ROBERT JOHN BROXTERMAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MS, ATC/R
Contact information
Practice address
4080 W BROADWAY AVE, ROBBINSDALE, MN 55422-5604
(651) 491-5847
Mailing address
1112 CALIFORNIA AVE W, SAINT PAUL, MN 55108-2202
(651) 487-9046
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1031
MN
Other
Enumeration date
05/09/2006
Last updated
07/08/2007
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