Individual
NANCY J BROOKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1525 E BELTLINE AVE NE, STE 102, GRAND RAPIDS, MI 49525-4598
(616) 447-7200
(616) 447-9773
Mailing address
1525 E BELTLINE AVE NE, STE 102, GRAND RAPIDS, MI 49525-4598
(616) 447-7200
(616) 447-9773
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
NB049930
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2642755
—
MI
Enumeration date
05/17/2006
Last updated
07/08/2007
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