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Organization

COMPREHENSIVE BREAST CARE PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ERIC A BROWN MD (OWNER)
(248) 687-7300
Entity
Organization

Contact information

Practice address
44199 DEQUINDRE RD, SUITE 609, TROY, MI 48085-1128
(248) 687-7300
(248) 687-7305
Mailing address
44199 DEQUINDRE RD, SUITE 609, TROY, MI 48085-1128
(248) 687-7300
(248) 687-7305

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0635776
BCBSMI
05
1346551074
MI
Enumeration date
06/28/2010
Last updated
12/14/2010
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