Individual
DR. MICHAEL BROOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1001 POTRERO AVE, SAN FRANCISCO, CA 94110-3518
(415) 514-3000
Mailing address
1635 DIVISADERO STREET, SUITE 625, BOX 1821, SAN FRANCISCO, CA 94143-0001
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
G66635
CA
2080P0202X
Pediatric Cardiology Physician
Primary
G66635
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G666350
—
CA
Enumeration date
06/23/2006
Last updated
02/10/2025
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