Organization · Type 2 NPI

Broadstone Medical, P.c.

General Practice Physician · Lake Elmo, MN

NPI number 1366165359 Active

Practice location

8530 Eagle Point Blvd Ste 100
Lake Elmo, MN 55042-8648

Call (231) 432-5841 Map

Mailing address

222 Lakeview Ave Ste 735
West Palm Beach, FL 33401-6145

Other practice locations

  • 500 Ala Moana Blvd Ste 7400, Honolulu, HI 96813-4902 · (904) 728-6493

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician Primary 208D00000XNone listed

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

21 other providers at this address

About NPI 1366165359

Broadstone Medical, P.c.'s National Provider Identifier is 1366165359, issued on Sep 23, 2022. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Lake Elmo, MN. The record was last updated on Mar 26, 2026.