Organization
OWOSSO HEART INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERRIE BROOKS DO (OWNER)
(989) 729-9808
Entity
Organization
Contact information
Practice address
1350 E M 21 RM 100, OWOSSO, MI 48867-9047
(989) 729-9808
Mailing address
1350 E M 21 RM 100, OWOSSO, MI 48867-9047
(989) 729-9808
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
510102740
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0P10890
—
MI
01
—
P00244059
RAILROAD MEDICARE
MI
Enumeration date
05/25/2007
Last updated
11/09/2007
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