Individual
BROOKE BLAZIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1500 E MEDICAL CENTER DR, ANN ARBOR, MI 48109-5000
(734) 936-4000
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
5101024606
MI
2080P0210X
Pediatric Nephrology Physician
Primary
5101024606
MI
Other
Enumeration date
06/20/2016
Last updated
09/27/2024
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