Individual
BROOKE IRISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2660 W SUGNET RD, MIDLAND, MI 48640-2647
(989) 832-0900
(989) 633-0349
Mailing address
4000 WELLNESS DR, MIDLAND, MI 48670-2000
(989) 839-3000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601011304
MI
Other
Enumeration date
10/05/2022
Last updated
12/29/2023
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