Individual
BROOK ALEX MEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 916-2545
Mailing address
44737 HUNTINGTON DR, NOVI, MI 48375-2221
(517) 206-8877
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704284294
MI
Other
Enumeration date
12/27/2018
Last updated
12/27/2018
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