| Michael L. Brodie | |
|
2211 N Johnson Rd Turlock CA 95382-6723 | |
| (209) 656-9517 | |
| (209) 656-9870 |
| Full Name | Michael L. Brodie |
|---|---|
| Speciality | Family Medicine |
| Location | 2211 N Johnson Rd, Turlock, California |
| Authorized Official Name and Position | Michael Lee Brodie (OWNER) |
| Authorized Official Contact | 2096569517 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael L. Brodie Po Box 1537 Turlock CA 95381-1537 Ph: (209) 656-9517 | Michael L. Brodie 2211 N Johnson Rd Turlock CA 95382-6723 Ph: (209) 656-9517 |
| NPI Number | 1336231406 |
|---|---|
| Provider Enumeration Date | 09/28/2006 |
| Last Update Date | 01/17/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336231406 | NPI | - | NPPES |
| GR0105910 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (California) | Primary |
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