Michelle A. Broderick O.D.

NPI 1003814096 - Optometrist - 152W00000X

NPI Details
NPI 1003814096
Gender Female
Enumeration Date 07/13/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
82 MAINE ST
BRUNSWICK ME, 04011-2015, US
Phone (207) 729-8474
Fax (207) 729-8955
Business Location
82 MAINE ST
BRUNSWICK ME, 04011-2015, US
Phone (207) 729-8474
Fax (207) 729-8955
Toxanomy
Taxonomy Code 152W00000X
License State Maine
License Number OPT767
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According to our database, Dr. Michelle A. Broderick O.D. NPI is 1003814096, taxonomy code is 152W00000X and license number is OPT767, license state is located at Maine. Michelle A. Broderick O.D. physically located at 82 Maine St, Brunswick ME, 04011-2015. NPI Number Michelle A. Broderick O.D. has the Individual type.

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1003814096 NPI number is provided on an as is basis without warranty of any kind. 1003814096 is maintained by the National Plan & Provider Enumeration System. The contents of Michelle A. Broderick O.D. are for informational purposes only.