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Mary Broughton, PA-C
NPI 1487844734 · on the registry since 2007
Practice
- Address
- 5109 36th Ave N
Crystal, MN 55422 - Phone
- (763) 587-7900
- Fax
- (763) 587-7989
- Organisation at this address
- North Clinic, Pa
North Clinic, PaInferred from a shared address, not stated in the registry. - Clinicians at this address
- 15
Registry record
- Primary taxonomy
- Medical Physician Assistant
363AM0700X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-11-07
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 Minnesota