| NPI Details | |
|---|---|
| NPI | 1538164132 |
| Gender | Female |
| Enumeration Date | 06/20/2005 |
| Last Updated | 09/02/2011 |
| Entity Type | Individual |
| Active | Over 12 years ago |
| Practice Location | |
|---|---|
| 1032 S CESAR E CHAVEZ DR MILWAUKEE WI, 53204-2203, US |
|
| Phone | (414) 672-1353 |
| Fax | (414) 672-4265 |
| Business Location | |
|---|---|
| 1032 S CESAR E CHAVEZ DR MILWAUKEE WI, 53204-2203, US |
|
| Phone | (414) 672-1353 |
| Fax | (414) 672-4265 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 207Q00000X |
| License State | Wisconsin |
| License Number | 35690 |
| Remove 1538164132 NPI Number | |
According to our database, Alicia M Broeren M.D. NPI is 1538164132, taxonomy code is 207Q00000X and license number is 35690, license state is located at Wisconsin. Alicia M Broeren M.D. physically located at 1032 S Cesar E Chavez Dr, Milwaukee WI, 53204-2203. NPI Number Alicia M Broeren M.D. has the Individual type.
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1538164132 NPI number is provided on an as is basis without warranty of any kind. 1538164132 is maintained by the National Plan & Provider Enumeration System. The contents of Alicia M Broeren M.D. are for informational purposes only.
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