Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
WESLEY W BROEDER, PA-C
ActiveWESLEY W BROEDER, PA-C is a Physician Assistant healthcare provider located in SPEARFISH, South Dakota. NPI 1598952822 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · SPEARFISH, SD
Registration Details
- NPI Number
- 1598952822
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 1, 2007 (18.844951666182 yrs)
- Last Updated
- Feb 5, 2013
- License
-
0657 (SD)
Practice Information
- Address
-
2479 E COLORADO BLVDSPEARFISH, SD, 577833204Browse SD providers · Browse ZIP 57783
- Phone
- 6056444460
- Fax
- 6056444461
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in SPEARFISH, SD
| Name | Credential | NPI |
|---|---|---|
| JAMI KORTAN | PA-C | 1558316422 |
| MARK STEPHEN HEINE | PA-C | 1366489403 |
| LYNETTE R SIEWERT | PAC | 1942313374 |
| GREGORY LARSON | PA-C | 1134577448 |
| CHLOE JANE MCPHILAMY | — | 1336747856 |
| JESSICA JOHNSON | PA | 1114650033 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.