Individual
BROOK A RICHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
505 N CLIPPERT ST, LANSING, MI 48912-4701
(517) 999-2273
Mailing address
804 SERVICE RD, STE A109B, EAST LANSING, MI 48824-7015
(517) 884-6546
(517) 432-9460
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601008985
MI
Other
Enumeration date
04/28/2019
Last updated
08/30/2021
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