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Contact Information

DENISSE G BROADBENT, MD
13060 ISLE DR
BAXTER, MN56425-8331
 Phone: 218-828-2880
 Fax: 218-454-5916
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for DENISSE G BROADBENT · (Female)

NPI Number 1508399130
Status Active
Credentials MD
Entity Individual
Enumeration date 04/10/2017
Last updated 06/12/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 66589
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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