OrganizationActive
Broadstone Medical, P.C.
NPI 1366165359 · General Practice Physician · Lake Elmo, MN
Provider details
- NPI number
- 1366165359
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Nancy Herrera, Clinical Operations Manager
Practice location
8530 Eagle Point Blvd Ste 100
Lake Elmo, MN 55042-8648
Phone: (231) 432-5841
Mailing address
222 Lakeview Ave Ste 735
West Palm Beach, FL 33401-6145
Registry dates
- Enumerated
- 2022-09-23
- Last updated
- 2026-03-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.