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Organization
BROOKSIDE HEALTH CENTER, P.C.
Active
Organization
BROOKSIDE HEALTH CENTER, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK B SAFFER DPM (CEO)
(313) 291-2520
Entity
Organization
Contact information
Practice address
8790 TELEGRAPH RD, TAYLOR, MI 48180-2491
(313) 295-2520
(313) 581-0228
Mailing address
8790 TELEGRAPH RD, TAYLOR, MI 48180-2491
(313) 295-2520
(313) 581-0228
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
—
NULL
207RR0500X
Rheumatology Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
NULL
207V00000X
Obstetrics & Gynecology Physician
—
—
207Y00000X
Otolaryngology Physician
—
NULL
207Y00000X
Otolaryngology Physician
—
—
208000000X
Pediatrics Physician
—
NULL
208000000X
Pediatrics Physician
—
—
208D00000X
General Practice Physician
Primary
—
NULL
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0Q26079
BCBSM
MI
05
—
3078099
—
MI
05
—
4182654
—
MI
05
—
4192187
—
MI
05
—
4456777
—
MI
05
—
4591234
—
MI
Enumeration date
07/09/2006
Last updated
01/16/2008
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