James Dean Vanbrocklin M.D.

NPI 1679877369 - Physical Medicine & Rehabilitation - 208100000X

NPI Details
NPI 1679877369
Gender Male
Enumeration Date 01/10/2011
Last Updated 01/10/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
1563 SUNTERRA TRL
BOYNE CITY MI, 49712-9025, US
Phone (520) 241-3522
Fax
Business Location
36959 S RIBBONWOOD LN
TUCSON AZ, 85739-1210, US
Phone (520) 818-1925
Fax
Toxanomy
Taxonomy Code 208100000X
License State Michigan
License Number 4301024280
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According to our database, Dr. James Dean Vanbrocklin M.D. NPI is 1679877369, taxonomy code is 208100000X and license number is 4301024280, license state is located at Michigan. James Dean Vanbrocklin M.D. physically located at 1563 Sunterra Trl, Boyne City MI, 49712-9025. NPI Number James Dean Vanbrocklin M.D. has the Individual type.

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1679877369 NPI number is provided on an as is basis without warranty of any kind. 1679877369 is maintained by the National Plan & Provider Enumeration System. The contents of James Dean Vanbrocklin M.D. are for informational purposes only.