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Search › Michigan › 225200000X

Teri Broadway

NPI 1376012708 · on the registry since 2018 · sole proprietor

Practice

Address
1901 N Telegraph Rd
Waterford, MI 48328
Phone
(810) 407-9103
Organisation at this address
Northern Oak Management Company, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
10

Registry record

Primary taxonomy
225200000X
225200000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-11-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan