MICHAEL PAUL BROUSSARD

BALTIMORE, MD
NPI1043491921
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: MD  R133503)
Enumeration Date2007-11-19
Last Update Date2008-07-22
Business Address
Mr. MICHAEL PAUL BROUSSARD CRNA
22 S GREENE ST
BALTIMORE, MD 21201-1544
Phone number: 410-328-6704
Mailing Address
Mr. MICHAEL PAUL BROUSSARD CRNA
PO BOX 64795
BALTIMORE, MD 21264-4795
Phone number: 410-328-6704
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