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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SIDNEY M BRODER, M.D.

Active Sole Proprietor

SIDNEY M BRODER, M.D. is a Electrodiagnostic Medicine healthcare provider located in GRAND BLANC, Michigan. NPI 1851465025 is currently active in the NPPES registry. Verify at CMS.

Electrodiagnostic Medicine · GRAND BLANC, MI

Registration Details

NPI Number
1851465025
Provider Type
Individual
Gender
Male
NPI Issued
Nov 20, 2006 (19.751416154249 yrs)
Last Updated
Jul 8, 2007
License
48274 (MI)
Sole Proprietor
Yes

Practice Information

Address
4605 GENESYS PKWY
GRAND BLANC, MI, 484398067
Browse MI providers · Browse ZIP 48439
Phone
8106069393
Primary Specialty
Electrodiagnostic Medicine
204D00000X
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.