JAN MICHAEL BROAD

SUPERIOR, WI
NPI1275835597
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MN  R134618-7)
Enumeration Date2010-11-18
Last Update Date2010-11-18
Business Address
-- JAN MICHAEL BROAD NP-C
6 SANDPIPER PL
SUPERIOR, WI 54880-5390
Phone number: 715-392-9192
Mailing Address
-- JAN MICHAEL BROAD NP-C
6 SANDPIPER PL
SUPERIOR, WI 54880-5390
Phone number: 715-392-9192
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