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1356380935
MICHAEL SCOTT BROAD
ROCHESTER HILLS, MI
NPI
1356380935
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant Surgical
(Licence: MI 5601003846)
Enumeration Date
2006-06-06
Last Update Date
2012-11-06
Business Address
MICHAEL SCOTT BROAD PA-C
1555 SOUTH BLVD E SUITE 310
ROCHESTER HILLS, MI 48307-5605
Phone number: 248-215-8095
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Mailing Address
MICHAEL SCOTT BROAD PA-C
1635 FAIRHOLME RD
GROSSE POINTE WOODS, MI 48236-2368
Phone number: 313-882-5473
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