MICHAEL SCOTT BROAD

ROCHESTER HILLS, MI
NPI1356380935
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: MI  5601003846)
Enumeration Date2006-06-06
Last Update Date2012-11-06
Business Address
-- MICHAEL SCOTT BROAD PA-C
1555 SOUTH BLVD E SUITE 310
ROCHESTER HILLS, MI 48307-5605
Phone number: 248-215-8095
Mailing Address
-- MICHAEL SCOTT BROAD PA-C
1635 FAIRHOLME RD
GROSSE POINTE WOODS, MI 48236-2368
Phone number: 313-882-5473