# BROOKSIDE HEALTH CENTER, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437182557
- **Authorized official:** MARK B SAFFER DPM (CEO)
- **Authorized official phone:** (313) 291-2520

## Contact information

- **Practice address:** 8790 TELEGRAPH RD, TAYLOR, MI 48180-2491
- **Practice address phone:** (313) 295-2520
- **Practice address fax:** (313) 581-0228
- **Mailing address:** 8790 TELEGRAPH RD, TAYLOR, MI 48180-2491
- **Mailing address phone:** (313) 295-2520
- **Mailing address fax:** (313) 581-0228

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/09/2006
- **Last updated:** 01/16/2008

## 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 |
