Wesley W Broeder, PA-C

NPI #1598952822 in Spearfish, South Dakota

Provider Information

NPI Number: 1598952822
Entity Type: Individual
Name: Wesley W Broeder, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Oct 1, 2007
Last Updated: Feb 5, 2013

Practice Location

Address: 2479 E COLORADO BLVD
City: Spearfish
State: South Dakota
ZIP Code: 57783-3204
Phone: (605) 644-4460

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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