Kevin Alexander Brody MD

NPI 1063490621 - Emergency Medicine - 207P00000X

NPI Details
NPI 1063490621
Gender Male
Enumeration Date 01/04/2006
Last Updated 10/16/2014
Entity Type Individual
Active Over 11 years ago
Practice Location
15855 19 MILE ROAD
EMERGENCY MEDICINE DEPARTMENT
CLINTON TWP MI, 48038-3504, US
Phone (586) 236-2601
Fax (586) 263-2589
Business Location
38935 ANN ARBOR ROAD
CREDENTIALING/PAYER CONTRACTING SERVICES
LIVONIA MI, 48150-3397, US
Phone (734) 632-0175
Fax (734) 632-0182
Toxanomy
Taxonomy Code 207P00000X
License State Virginia
License Number 0101244238
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According to our database, Dr. Kevin Alexander Brody MD NPI is 1063490621, taxonomy code is 207P00000X and license number is 0101244238, license state is located at Virginia. Kevin Alexander Brody MD physically located at 15855 19 Mile Road, Clinton Twp MI, 48038-3504. NPI Number Kevin Alexander Brody MD has the Individual type.

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1063490621 NPI number is provided on an as is basis without warranty of any kind. 1063490621 is maintained by the National Plan & Provider Enumeration System. The contents of Kevin Alexander Brody MD are for informational purposes only.