| James Broecker PA | |
|
901 Dominion Dr Hudson Counseling Hudson WI 54016-9326 | |
| (715) 531-6760 | |
| (715) 531-6761 |
| Full Name | James Broecker PA |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 901 Dominion Dr, Hudson, Wisconsin |
| Authorized Official Name and Position | James Harold Broecker (LIC. MARRIAGE AND FAMILY THERAPIST) |
| Authorized Official Contact | 6512952409 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| James Broecker PA 2806 Itasca Ave S Lakeland MN 55043-9741 Ph: (715) 531-6760 | James Broecker PA 901 Dominion Dr Hudson Counseling Hudson WI 54016-9326 Ph: (715) 531-6760 |
| NPI Number | 1619090669 |
|---|---|
| Provider Enumeration Date | 04/06/2007 |
| Last Update Date | 01/10/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619090669 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (NU) | Primary |
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