Wayne J Brotzman Jr., D.O.
Family Medicine in Wind Gap, PA. Individual provider (NPI-1).
NPI number1295832012
StatusActive
Last updated in NPPESJun 24, 2010
Details
- NPI
- 1295832012
- Entity type
- Individual (NPI-1)
- Name
- Wayne J Brotzman Jr.
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 20, 2006
- Last updated
- Jun 24, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | OS007427L | PA | Yes |
Practice location
826 S BroadwayWind Gap, PA 18091-1628
Phone 610-863-3019 · Fax 610-863-6732
Mailing address
826 S BroadwayWind Gap, PA 18091-1628
Phone 610-863-3019 · Fax 610-863-6732
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