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Individual

BROOKE L SIMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
32255 NORTHWESTERN HWY STE 180, FARMINGTON HILLS, MI 48334-1573
(248) 355-0880
(248) 355-9232
Mailing address
29992 NORTHWESTERN HWY STE C, FARMINGTON HILLS, MI 48334-3292
(248) 851-1430
(248) 851-5182

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1306362678
MI
01
MI4989646
MEDICARE PTAN
MI
Enumeration date
08/18/2017
Last updated
07/18/2023
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