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1396183158
BRODERICK C HOWARD
MISHAWAKA, IN
NPI
1396183158
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IN 11017346A)
Enumeration Date
2013-06-13
Last Update Date
2016-09-14
Business Address
-- BRODERICK C HOWARD DO
611 E DOUGLAS RD STE 137
MISHAWAKA, IN 46545-1464
Phone number: 574-335-6214
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Mailing Address
-- BRODERICK C HOWARD DO
707 E CEDAR ST STE 200
SOUTH BEND, IN 46617-2057
Phone number: 574-335-8700
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