Individual
DANIEL C BROOKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2600 WILSON ST STE 1, MILES CITY, MT 59301-5094
(406) 233-2520
(406) 233-4062
Mailing address
2600 WILSON ST, SUITE 1, MILES CITY, MT 59301-5094
(406) 233-2520
(406) 233-4062
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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