Individual
JENNIE BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C.
Contact information
Practice address
4967 CROOKS RD, SUITE 130, TROY, MI 48098-5801
(248) 952-1601
(248) 952-0192
Mailing address
4967 CROOKS RD, SUITE 130, TROY, MI 48098-5801
(248) 952-1601
(248) 952-0192
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601003725
MI
Other
Enumeration date
09/14/2005
Last updated
07/08/2007
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