Individual
GREGORY MICHAEL BROUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1550 FAULK ST, MONROE, NC 28112-5086
(980) 442-0430
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
9900438
NC
207RX0202X
Medical Oncology Physician
Primary
9900438
NC
Other
Enumeration date
05/11/2006
Last updated
07/15/2024
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