Stacey T Broecker (NPI# 1922053040, PAC ID# 7416915715) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1922053040 |
| PAC ID by PECOS | 7416915715 |
| Professional Enrollment ID | I20050106000059 |
| Full Name | Stacey T Broecker |
| Address |
2356 University Ave W Suite 260 Saint Paul MN 55114-1897 |
| Gender | F |
| Credential | OD |
| Medical School | STATE UNIVERSITY OF NEW YORK - STATE COLLEGE OPTOMETRY |
| Graduation Year | 1986 |
| Primary Specialty | OPTOMETRY |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2356 University Ave W, Suite 260, Saint Paul, MN 55114-1897 |
| Street Address |
2356 UNIVERSITY AVE W SUITE 260 |
| City | SAINT PAUL |
| State | MN |
| Zip | 55114-1897 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Wendy L Baker | Clinical Social Worker | Family Circle Counseling Pllc | 2356 University Ave W, Suite 280, Saint Paul, MN 55114-1898 |
| Krista M Nelson | Clinical Social Worker | Family Circle Counseling Pllc | 2356 University Ave W, Suite 280, Saint Paul, MN 55114-1898 |
| Mireille Anne Bardy | Clinical Social Worker | Family Circle Counseling Pllc | 2356 University Ave W, Suite 280, St Paul, MN 55114-1898 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Beth M Brandenburg | Psychiatry | Park Nicollet Clinic | 2550 University Ave W, Saint Paul, MN 55114-1052 |
| Amanda N Delsman | Psychologist, Clinical | Park Nicollet Clinic | 2550 University Ave W, Saint Paul, MN 55114-1052 |
| Karen L Nelson | Psychologist, Clinical | Park Nicollet Clinic | 2550 University Ave W, Saint Paul, MN 55114-1052 |
| Sarah L Lazarewicz | Clinical Social Worker | Park Nicollet Clinic | 2550 University Ave W, Saint Paul, MN 55114-1052 |
| Natalie Dahlgren | Certified Clinical Nurse Specialist (cns) | Park Nicollet Clinic | 2550 University Ave W, Saint Paul, MN 55114-1052 |
| Miriam Rebecca Koch Gerber | Psychologist, Clinical | Park Nicollet Clinic | 2550 University Ave W, Saint Paul, MN 55114-1052 |
| Erin T Fredrick-gray | Psychologist, Clinical | Park Nicollet Clinic | 2550 University Ave W, Saint Paul, MN 55114-1052 |
| Kathryn R Brush | Psychologist, Clinical | Park Nicollet Clinic | 2550 University Ave W, Saint Paul, MN 55114-1052 |
| Mark S Paller | Nephrology | University of Minnesota Physicians | 1045 Westgate Dr, Suite 90, Saint Paul, MN 55114-1079 |
| Samuel Robert Alexander | Chiropractic | Institute for Orthopedics and Chiropractic, Pllc | 2550 University W Ave, 143n, Saint Paul, MN 55114-1098 |
| Find all physicians in zip 55114 | |||
| City | SAINT PAUL |
| Zip Code | 55114 |
| Specialty | OPTOMETRY |
| City + Specialty | SAINT PAUL + OPTOMETRY |
Please comment or provide details below to improve the information on Stacey T Broecker.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.