SearchMinnesota171100000X

Emma Broderick

NPI 1922512805 · on the registry since 2017 · sole proprietor

Practice

Address
1211 James Ave
Saint Paul, MN 55105
Phone
(651) 295-8536

Additional practice sites

  • 708 W 40th St, Minneapolis, MN

Registry record

Primary taxonomy
171100000X
171100000X
Licence states on file
MN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-06-26

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