Dr. Frederick F Broniak
Emergency Medical Services
2333 Biddle St
Wyandotte
, Michigan 48192-4668
Dr. Frederick F Broniak
Emergency Medical Services
2333 Biddle St
Wyandotte
, Michigan 48192-4668
(248) 719-4012
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About
Features
Specialties
- Emergency Medical Services
Languages spoken
- English
Location
First Address
- Dr. Frederick F Broniak
- 9360 Stonehouse Ave
- Livonia, MI
- Zip : 48150-3454
- Phone : (248) 719-4012
Second Address
- Dr. Frederick F Broniak
- 2333 Biddle St
- Wyandotte, MI
- Zip : 48192-4668
- Phone : (313) 284-9400
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207PE0004X | Emergency Medical Services | 008243 | MI |
National Provider Identifier
| NPI | 1164465621 |
|---|---|
| Provider Name | Dr. Frederick F Broniak |
| First Address | Livonia, MI 48150-3454 |
| Second Address | Wyandotte, MI 48192-4668 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/06/2006 |
| Last Update Date | 22/11/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 4266852 | (05) | MI |
| 4832740 | (05) | MI |
| F01944 | (02) | MI |
| FB008243 | BC/BS (01) | MI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.