Individual
MRS. BROOKE N BROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
N6654 ROLLING MEADOWS DR, FOND DU LAC, WI 54937-9471
(920) 906-5100
Mailing address
N6654 ROLLING MEADOWS DR, FOND DU LAC, WI 54937-9471
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/13/2012
Last updated
06/13/2012
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