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Contact Information

STEVEN E BRODNICKI, PT
1305 WALKER AVE NW
GRAND RAPIDS, MI49504-4098
 Phone: 616-776-8409
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
 

Geriatrics

2251G0304X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for STEVEN E BRODNICKI · (Male)

NPI # 1356678080
Status Active
Credentials PT (Physical Therapist)
Entity Individual
Enumeration date 11/18/2009
Last updated 11/18/2009 - About 17 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 5501010835
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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