Organization
MOBILE MEDICAL CONSULTANT PLLC
Active
Organization
MOBILE MEDICAL CONSULTANT PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIE ANN BROOKS PA-C (PHYSICIAN ASSISTANT)
(248) 210-8883
Entity
Organization
Contact information
Practice address
620 S DORCHESTER AVE, ROYAL OAK, MI 48067-4048
(248) 210-8883
Mailing address
620 S DORCHESTER AVE, ROYAL OAK, MI 48067-4048
(248) 210-8883
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601003725
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1467447573
NPI
MI
Enumeration date
04/04/2007
Last updated
08/22/2020
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