MICHAEL S BROAD, PA-C, Surgical ROCHESTER HILLS, MI

Contact Information

MICHAEL S BROAD, PA-C

1555 SOUTH BLVD E
SUITE 310
ROCHESTER HILLS, MI 48307-5605

Phone: 248-215-8095
Fax: 248-289-1086
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Surgical	363AS0400X	97	Physician Assistant

Indicates primary specialty

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NPI Profile & details for MICHAEL S BROAD · (Male)

NPI Number	`1356380935`
Status	Active
Credentials	PA-C (Physician Assistant-Certified)
Entity	Individual
Enumeration date	06/06/2006
Last updated	11/06/2012 - About 14 years ago
Sole proprietor ¹	No
Identifiers	MI License # 5601003846
Hospital affiliation(s)	WILLIAM BEAUMONT HOSPITAL-TROY - (Acute Care) 44201 DEQUINDRE ROAD TROY, MI 48085

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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MICHAEL S BROAD, PA-C – NPI #1356380935Surgical

Contact Information

Specialty

Surgical

NPI Profile & details for MICHAEL S BROAD · (Male)

Reviews for MICHAEL S BROAD

MICHAEL S BROAD, PA-C – NPI #1356380935
Surgical