Organization
HOWARD S. BRODE, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HOWARD S BRODE M.D. (PRESIDENT)
(248) 333-1010
Entity
Organization
Contact information
Practice address
10 W SQUARE LAKE RD, SUITE 303, BLOOMFIELD HILLS, MI 48302-0465
(248) 333-1010
Mailing address
10 W SQUARE LAKE RD, SUITE 303, BLOOMFIELD HILLS, MI 48302-0465
(248) 333-1010
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
043351
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
043351
MEDICAL LISCENCE #
MI
01
—
2606303022
BCBS PROVIDER #
MI
Enumeration date
04/07/2007
Last updated
03/07/2023
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