DR. Jerald R Broderick, D.C.

NPI #1518923945 in Elkhart, Indiana

Provider Information

NPI Number: 1518923945
Entity Type: Individual
Name: DR. Jerald R Broderick, D.C.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Chiropractor
Credential: D.C.
Enumeration Date: Apr 25, 2006
Last Updated: Mar 16, 2010

Practice Location

Address: 1424 JOHNSON ST
City: Elkhart
State: Indiana
ZIP Code: 46514-3404
Phone: (574) 264-4151

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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