Individual
DR. DONALD JOE BROCKRIEDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3720 HURON ST, NORTH BRANCH, MI 48461-8117
(810) 688-3008
(810) 688-2429
Mailing address
PO BOX 707, NORTH BRANCH, MI 48461-0707
(810) 688-3008
(810) 688-2429
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901010543
MI
Other
Enumeration date
05/03/2007
Last updated
07/08/2007
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