Individual
MR. DAVID ETHAN BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
101 E MILLER RD, STERLING, IL 61081-1252
(815) 625-4790
Mailing address
17628 GRANDVIEW DR, STERLING, IL 61081-8562
(912) 312-1252
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
385004697
IL
Other
Enumeration date
08/12/2005
Last updated
08/21/2024
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