Brodsky, Marc

Brodsky, Marc is an individual health care provider with primary practice located at 6900 Orchard Lake Rd Ste 106 , W Bloomfield MI 48322-3424. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Brodsky, Marc can be contacted via phone (248) 788-4278.

Contact Information

Primary practice address
6900 Orchard Lake Rd Ste 106 W Bloomfield MI 48322-3424
Phone: (248) 788-4278
Fax: (248) 788-2001
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X MB047506 Michigan

Profile Details

NPI number 1821024647
LBN Legal business name Brodsky, Marc
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2006
Last updated Oct 23rd, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821024647 NPPES
Michigan MEDICAID 4162590

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