MARIANNE THEODORA BROERS

Address: 220 15th Ave Se Ste C, Puyallup, WA 98372
Phone: 2534353400

MARIANNE THEODORA BROERS (NPI# 1750441812) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1750441812
Entity Type Individual
Full Name MARIANNE THEODORA BROERS
Other Name MARIA THEODORA BROERS
Credential MD
Practice Address 220 15th Ave Se Ste C
Puyallup
WA 98372
Mailing Address 220 15th Ave Se Ste C
Puyallup
WA 98372-3797
Practice Telephone 2534353400
Practice Fax Number 2534353444
Gender Male
Sole Proprietor Yes, this individual is a Sole Proprietor
Enumeration Date 2006-12-11
Last Update Date 2018-06-18

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine MD00032726 WA Allopathic & Osteopathic Physicians

Office Location

Street Address 220 15TH AVE SE STE C
City PUYALLUP
State WA
Zip Code 98372

Providers in the same location

NPI Name Address
1295932150 DIMPLE SAHAY 220 15th Ave Se Ste C, Puyallup, WA 98372

Providers in the same zip code

NPI Name Address
1790077253 CHRISTOPHER AARON BREED 400 15th Ave Se, Puyallup, WA 98372
1679041404 CARA ANN LUNDIN 11926 43rd St Crt E, Edgewood, WA 98372
1811496292 ALEESIA ROSE MORALES 325 E Pioneer, Puyallup, WA 98372
1679054431 SAMANTHA LEE FINE 325 E Pioneer, Puyallup, WA 98372
1104392109 MEGAN BLACK 40 29th St Ne, Puyallup, WA 98372
1114433539 MR. NICOLAS KALANI ADDISON 325 E Pioneer, Puyallup, WA 98372
1245409911 MR. JASON S HUSSEY 120 14th Ave Se Ste D, Puyallup, WA 98372
1891997243 KAREN J FAHEY 120 14th Ave Se Ste D, Puyallup, WA 98372
1306210851 PUI LAM ADRIANA HO 1408 3rd St Se Ste 200, Puyallup, WA 98372
1518079722 BRUCE K. BAKER 1408 3rd St Se Ste 200, Puyallup, WA 98372

Competitor

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City PUYALLUP
Zip Code 98372

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.