Samuel Broaden

NPI 1790130953 · on the registry since 2016

Practice

Address: 30200 Telegraph Rd
404
Bingham Farms, MI 48025
Phone: (810) 356-7433
Organisation at this address: David G. Mikkola Pc
E3 Care Givers, Llc
Rrd Acquisition, Llc
Kleinman Counseling Pllc
Neurological Surgery, Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 105

Registry record

Primary taxonomy: 172A00000X
172A00000X
Licence states on file: MI
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2016-04-25

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