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Dr. John Scott Broderick, MD
Clinical Neurophysiology Physician in Mequon, Wisconsin
NPI 1508939976

John Scott Broderick is a Clinical Neurophysiology Physician based in Glendale, WI and is specialized in Clinical Neurophysiology. John Scott Broderick practices in Mequon, WI and has the professional credentials of MD. The NPI Number for John Scott Broderick is 1508939976 and holds a License No. 46762-020 (Wisconsin).

The current practice location address for John Scott Broderick is 13133 N Port Washington Rd, Mequon, WI and can be reached out via phone at 262-243-8371 and via fax at 262-243-8342.

Location: 13133 N Port Washington Rd, Mequon, WI, 53212-1082
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508939976
Provider Name
John Scott Broderick
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
13133 N Port Washington Rd, Mequon, WI, 53212-1082
Phone Number
262-243-8371
Fax Number
262-243-8342
Provider Enumeration Date
11/15/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
13133 N Port Washington Rd
City
Mequon
State
Wisconsin
Zip
53097-2419
Phone Number
262-243-8371
Fax Number
262-243-8342
person
Provider Business Mailing Address Details
Address
13133 N Port Washington Rd
City
Mequon
State
Wisconsin
Zip
53097-2419
Phone Number
262-243-8371
Fax Number
262-243-8342
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Clinical Neurophysiology
Taxonomy
2084N0600X
License No.
46762-020 (Wisconsin)
Definition
Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS).
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