Mary B Broeckert in Grand Rapids - Family Medicine
Mary B Broeckert - NPI 1326125576
Mary B Broeckert is a Family Medicine in Grand Rapids, Michigan. Mary B Broeckert practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Mary B Broeckert is 1326125576. The last update date is 2007-07-09.
Mary B Broeckert's current location address is 2332 Alpine Ave Nw, Grand Rapids, Michigan. You can contact this provider via phone number 6163916220. The mailing address for Mary B Broeckert is 2332 Alpine Ave Nw, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
Provider Name | Mary B Broeckert |
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Address | 2332 Alpine Ave Nw, Grand Rapids, Michigan |
Phone Number | 6163916220 |
Fax Number | |
Sole Proprietor | N |
Credentials | MD |
NPI Number Detail
NPI Number | 1326125576 |
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Provider Enumeration Date | 2006-11-01 |
Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
Address | 2332 Alpine Ave Nw |
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City | Grand Rapids |
State | Michigan (MI) |
Post Code | 495441955 |
Phone Number | 6163916220 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Family Medicine |
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Taxonomy | 207Q00000X |
Licence No | 4301043572 |
Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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4301043572 | MI | STATE LICENSE | |
4935255 | MI | -- | |
4935273 | MI | -- | |
1598712390 | MI | GROUP NPI | |
4935246 | MI | -- | |
4935264 | MI | -- | |
4935291 | MI | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Mary B Broeckert by the Centers for Medicare & Medicaid Services?
The Mary B Broeckert has been assigned the NPI (National Provider Identifier) 1326125576 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Mary B Broeckert's facilities are situated?
The facilities of Mary B Broeckert are physically located at the following address: 2332 Alpine Ave Nw, Grand Rapids, MI, 495441955.
What is the Mary B Broeckert's specialty and taxonomy code?
The Mary B Broeckert's specialty is Family Medicine, and the corresponding taxonomy code is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1326125576 to Mary B Broeckert?
The Mary B Broeckert received its 1326125576 assignment from the Centers for Medicare & Medicaid Services on 2006-11-01.
When was the information regarding Mary B Broeckert most recently updated?
The details pertaining to the Mary B Broeckert, including its address, specialty, and other relevant information, were last refreshed on 2007-07-09.