Brookside Internal Medicine, P.c.

NPI 1033357405 - Internal Medicine - 207R00000X

NPI Details
NPI 1033357405
Enumeration Date 01/23/2009
Last Updated 01/23/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name ELAINA ELAINA
Position PRESIDENT/OWNER
Phone (248) 919-1100
Fax
Practice Location
24230 KARIM BLVD
SUITE 130
NOVI MI, 48375-2960, US
Phone (248) 919-1100
Fax
Business Location
24230 KARIM BLVD
SUITE 130
NOVI MI, 48375-2960, US
Phone (248) 919-1100
Fax
Toxanomy
Taxonomy Code 207R00000X
License State Michigan
License Number 4301073103
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According to our database, Brookside Internal Medicine, P.c. NPI is 1033357405, taxonomy code is 207R00000X and license number is 4301073103, license state is located at Michigan. Brookside Internal Medicine, P.c. physically located at 24230 Karim Blvd, Novi MI, 48375-2960. NPI Number 1033115704 has the healthcare provider type.

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1033357405 NPI number is provided on an as is basis without warranty of any kind. 1033357405 is maintained by the National Plan & Provider Enumeration System. The contents of Brookside Internal Medicine, P.c. are for informational purposes only.