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Individual

KATHLEEN BROSSY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 283-8243
Mailing address
49958 PLYMOUTH WAY, PLYMOUTH, MI 48170-6420
(734) 233-7379

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
4704251963
MI

Other

Enumeration date
09/12/2012
Last updated
09/12/2012
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