Individual provider · Type 1 NPI

Frederick Joseph Brodeur, MD

Diagnostic Radiology Physician · Traverse City, MI

NPI number 1710901236 Active

Practice location

1105 Sixth St
Traverse City, MI 49684-2345

Mailing address

PO Box 30516, Dept. 9516
Lansing, MI 48909-8016

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202X4301059490 (MI)
Vascular & Interventional Radiology Physician 2085R0204X4301059490 (MI)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1710901236

Frederick Joseph Brodeur, MD's National Provider Identifier is 1710901236, issued on Jul 27, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Traverse City, MI. The record was last updated on Apr 29, 2020.