Individual
TODD BROOKENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2142 N COVE BLVD, TOLEDO, OH 43606-3895
(419) 291-4101
Mailing address
6896 W SNOWVILLE RD, BRECKSVILLE, OH 44141-3214
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
34-00-7045
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000271428
ANTHEM
OH
01
—
000000372950
ANTHEM
OH
05
—
2181339
—
OH
01
—
347960760031
CARESOURCE
OH
05
—
4454306
—
MI
01
—
727185
BCHP
OH
05
—
810547599046
—
OH
Enumeration date
03/27/2006
Last updated
12/24/2007
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