NPI 1295832012

Wayne J Brotzman, DO

Practitioner Family Medicine Physician Wind Gap, PA

Practice location

Address: 826 S Broadway, Wind Gap, PA 18091-1628
Phone: (610) 863-3019
Fax: (610) 863-6732

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence OS007427L (PA)

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Registry record

NPI: 1295832012
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Sep 2006
Record last updated: 24 Jun 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.