person
Mary E Broughton, PA-C
Medical Physician Assistant in Crystal, Minnesota
NPI 1487844734

Mary E Broughton is a Medical Physician Assistant based in Brooklyn Park, MN and is specialized in Medical. Mary E Broughton practices in Crystal, MN and has the professional credentials of PA-C. The NPI Number for Mary E Broughton is 1487844734 and holds a License No. 10288 (Minnesota).

The current practice location address for Mary E Broughton is 5109 36Th Ave N, Crystal, MN and can be reached out via phone at 763-587-7900 and via fax at 763-587-7989.

Location: 5109 36Th Ave N, Crystal, MN, 55445-1924
person
Provider Profile Details
NPI Number
1487844734
Provider Name
Mary E Broughton
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
5109 36Th Ave N, Crystal, MN, 55445-1924
Phone Number
763-587-7900
Fax Number
763-587-7989
Provider Enumeration Date
08/01/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5109 36Th Ave N
City
State
Zip
55422-2007
Phone Number
763-587-7900
Fax Number
763-587-7989
person
Provider Business Mailing Address Details
Address
5109 36Th Ave N
City
State
Zip
55422-2007
Phone Number
763-587-7900
Fax Number
763-587-7989
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
10288 (Minnesota)
Definition
Definition to come...
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