DR. Jamie C Broekhuizen, D.O.

NPI #1033312442 in Fort Wayne, Indiana

Provider Information

NPI Number: 1033312442
Entity Type: Individual
Name: DR. Jamie C Broekhuizen, D.O.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: D.O.
Enumeration Date: Jun 6, 2007
Last Updated: Oct 3, 2022

Practice Location

Address: 3909 NEW VISION DR
City: Fort Wayne
State: Indiana
ZIP Code: 46845-1725
Phone: (260) 469-6610

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary
Student in an Organized Health Care Education/Training Program	390200000X

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