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1700415072
MICHAEL BRODER
RALEIGH, NC
NPI
1700415072
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NC 317878)
Enumeration Date
2020-04-07
Last Update Date
2023-11-01
Business Address
MICHAEL BRODER
1011 ROCK QUARRY RD
RALEIGH, NC 27610-3825
Phone number: 919-833-3111
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Mailing Address
MICHAEL BRODER
1011 ROCK QUARRY RD
RALEIGH, NC 27610-3825
Phone number: 919-833-3111
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