NPI 1487570404

Broderick Stefanik

Practitioner Basic Emergency Medical Technician Birchwood, WI

Practice location

Address: N1910 Scout Rd, Birchwood, WI 54817-8906
Phone: (612) 261-2455

Registered specialties

Basic Emergency Medical Technician Primary

Emergency Medical Service Providers Taxonomy 146N00000X Licence 70124316 (WI)

Other Emergency Medical Technician, Basic providers in Wisconsin →

Registry record

NPI: 1487570404
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Jun 2026
Record last updated: 24 Jun 2026

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.