Individual
MS. MIRA J BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D. CCC-A
Contact information
Practice address
21000 E 12 MILE RD STE 111, SAINT CLAIR SHORES, MI 48081-1156
(586) 779-2400
(586) 779-0031
Mailing address
21000 E 12 MILE RD STE 110, SAINT CLAIR SHORES, MI 48081-1184
(586) 779-2400
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
1601000163
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0E01477
BCBS
—
Enumeration date
10/10/2006
Last updated
03/25/2026
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