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Stacey Broecker, O.D
NPI 1922053040 · on the registry since 2006 · sole proprietor
Practice
- Address
- 2356 University Ave W
Saint Paul, MN 55114 - Phone
- (651) 645-8124
- Fax
- (651) 645-8125
- Organisation at this address
- Axis Healthcare
Axis Healthcare
Broecker Eye & Optical
Reflections St. Paul Inc.
The African American Adoption AgencyInferred from a shared address, not stated in the registry. - Clinicians at this address
- 8
Registry record
- Primary taxonomy
- Optometrist
152W00000X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-11-20
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