Individual provider · Type 1 NPI

Michael Philip Bronnenberg, PA-C

Medical Physician Assistant · Concord, NH

NPI number 1881101178 Active

Practice location

250 Pleasant St
Concord, NH 03301-7539

Mailing address

53 Main St
Chichester, NH 03258-6509

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPENDING (NH)

Medical Physician Assistant: Definition to come...

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About NPI 1881101178

Michael Philip Bronnenberg, PA-C's National Provider Identifier is 1881101178, issued on Jan 8, 2018. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Concord, NH. The record was last updated on Jan 8, 2018.