# BROOKE WEINGARDEN DO MPH PLLC

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

## Provider details

- **NPI number:** 1568881910
- **Authorized official:** MRS. BROOKE ELLYCE WEINGARDEN DO (CHILD AND ADOLESCENT PSYCHIATRIST)
- **Authorized official phone:** (248) 646-6659

## Contact information

- **Practice address:** 2075 W BIG BEAVER RD, SUITE 520, TROY, MI 48084-3407
- **Practice address phone:** (248) 646-6659
- **Practice address fax:** (248) 642-8645
- **Mailing address:** 2075 W BIG BEAVER RD, SUITE 520, TROY, MI 48084-3407
- **Mailing address phone:** (248) 646-6659
- **Mailing address fax:** (248) 642-8645

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0804X | Child & Adolescent Psychiatry Physician | 5101018400 | MI | Yes |

## Other

- **Enumeration date:** 04/14/2014
- **Last updated:** 04/14/2014