Michael N Brodoski
Technician/Technologist, Optician in Livonia, MI. Individual provider (NPI-1).
NPI number1194866004
StatusActive
Last updated in NPPESDec 1, 2009
Details
- NPI
- 1194866004
- Entity type
- Individual (NPI-1)
- Name
- Mr. Michael N Brodoski
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 12, 2007
- Last updated
- Dec 1, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 156FX1800X | Technician/Technologist, Optician | – | MI | Yes |
Practice location
37650 Professional Ctr Dr Ste 125 ALivonia, MI 48154
Phone 734-953-0233 · Fax 734-462-1496
Mailing address
37650 Professional Ctr Dr Ste 125 ALivonia, MI 48154
Phone 734-953-0233 · Fax 734-462-1496
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