SearchMichigan103TC1900X

Dana Broderick

NPI 1588735260 · on the registry since 2006 · sole proprietor

Practice

Address
1050 Silver Dr
Traverse City, MI 49684
Phone
(231) 947-2255
Clinicians at this address
21

Registry record

Primary taxonomy
103TC1900X
103TC1900X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2008-04-08

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