Individual
SUNSHINE J BROEREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
505 KELLER AVE S, AMERY, WI 54001
(715) 268-6900
(715) 268-6895
Mailing address
505 KELLER AVE S, AMERY, WI 54001
(715) 268-6900
(715) 268-6895
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3961026
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
156L4BR
BCBS OF MN
—
05
—
40864600
—
WI
01
—
6403644
MEDICA INS
—
01
—
HP48075
HEALTH PARTNERS
—
Enumeration date
12/15/2006
Last updated
07/08/2007
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