Individual
DR. MICHAEL ASHBROOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5400 FORT ST STE 110, TRENTON, MI 48183-4698
(248) 898-4176
Mailing address
3601 W 13 MILE RD, DIVISION OF CARDIOVASCULAR MEDICINE, ROYAL OAK, MI 48073-6712
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
4301109754
MI
207RI0011X
Interventional Cardiology Physician
Primary
4301109754
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5315076035
CONTROLLED SUBSTANCE LICENSE
MI
Enumeration date
04/03/2013
Last updated
06/18/2020
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