Individual
KATARZYNA NOELLE BROCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
19070 E 10 MILE RD, EASTPOINTE, MI 48021-1449
(586) 445-0177
(585) 773-1385
Mailing address
40020 CAPITOL DR, STERLING HEIGHTS, MI 48313-5304
(586) 335-5692
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
4704267940
MI
363LP2300X
Primary Care Nurse Practitioner
Primary
4704267940
MI
Other
Enumeration date
07/14/2021
Last updated
08/20/2021
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