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Mary B Broeckert, MD
Family Medicine Physician in Grand Rapids, Michigan
NPI 1326125576

Mary B Broeckert is a Family Medicine Physician based in Grand Rapids, MI. Mary B Broeckert practices in Grand Rapids, MI and has the professional credentials of MD. The NPI Number for Mary B Broeckert is 1326125576 and holds a License No. 4301043572 (Michigan).

The current practice location address for Mary B Broeckert is 2332 Alpine Ave Nw, Grand Rapids, MI and can be reached out via phone at 616-391-6220.

Location: 2332 Alpine Ave Nw, Grand Rapids, MI, 49503-2560
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1326125576
Provider Name
Mary B Broeckert
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
2332 Alpine Ave Nw, Grand Rapids, MI, 49503-2560
Phone Number
616-391-6220
Fax Number
Provider Enumeration Date
11/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4301043572 01 MI STATE LICENSE
4935255 05 MI
4935273 05 MI
1598712390 01 MI GROUP NPI
4935246 05 MI
4935264 05 MI
4935291 05 MI
institution
Provider Business Practice Location Address Details
Address
2332 Alpine Ave Nw
City
Grand Rapids
State
Michigan
Zip
49544-1955
Phone Number
616-391-6220
Fax Number
person
Provider Business Mailing Address Details
Address
2332 Alpine Ave Nw
City
Grand Rapids
State
Michigan
Zip
49544-1955
Phone Number
616-391-6220
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
4301043572 (Michigan)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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