Individual
DANIEL C BROOKE
Active
Individual
DANIEL C BROOKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
4617
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1069930001
DMERC REGION D
MT
05
—
1487677175
—
MT
01
—
1841474087
DMERC
MT
01
—
200022649
RAILROAD MEDICARE
MT
Enumeration date
07/25/2006
Last updated
10/03/2012
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