Individual
MR. ERIC THOMAS BROEKHUIZEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
24 FRANK LLOYD WRIGHT DR, ANN ARBOR, MI 48105-9755
(734) 930-7400
Mailing address
623 BERKSHIRE DR, SALINE, MI 48176-1069
(734) 316-2288
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
04/24/2007
Last updated
07/08/2007
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