Individual
BROOKE CHAMPANE THOMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA, DNAP
Contact information
Practice address
2333 BIDDLE AVE, WYANDOTTE, MI 48192-4668
(734) 246-6000
Mailing address
3615 MIDDLEBURY LN, BLOOMFIELD HILLS, MI 48301-3362
(313) 204-5120
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704314176
MI
Other
Enumeration date
07/12/2022
Last updated
09/24/2024
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