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Mr. Michael N Brodoski
Optician in Livonia, Michigan
NPI 1194866004

Michael N Brodoski is a Optician based in Livonia, MI and is specialized in Optician. Michael N Brodoski practices in Livonia, MI. The NPI Number for Michael N Brodoski is 1194866004 and holds a License No. (Michigan).

The current practice location address for Michael N Brodoski is 37650 Professional Ctr Dr Ste 125 A, Livonia, MI and can be reached out via phone at 734-953-0233 and via fax at 734-462-1496.

Location: 37650 Professional Ctr Dr Ste 125 A, Livonia, MI, 48154
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194866004
Provider Name
Michael N Brodoski
Credential
Provider Entity Type
Individual
Gender
Male
Address
37650 Professional Ctr Dr Ste 125 A, Livonia, MI, 48154
Phone Number
734-953-0233
Fax Number
734-462-1496
Provider Enumeration Date
02/12/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
540220276 01 MI BCBS
institution
Provider Business Practice Location Address Details
Address
37650 Professional Ctr Dr Ste 125 A
City
Livonia
State
Michigan
Zip
48154
Phone Number
734-953-0233
Fax Number
734-462-1496
person
Provider Business Mailing Address Details
Address
37650 Professional Ctr Dr Ste 125 A
City
Livonia
State
Michigan
Zip
48154
Phone Number
734-953-0233
Fax Number
734-462-1496
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
156FX1800X
License No.
(Michigan)
Definition
Definition to come...
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