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Individual

DR. DEON DAVID MIDDLEBROOK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
20176 LIVERNOIS AVE, DETROIT, MI 48221-1346
(313) 864-7000
(313) 864-5423
Mailing address
20176 LIVERNOIS AVE, DETROIT, MI 48221-1346
(313) 864-7000
(313) 864-5769

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
DM053010
MI
207RN0300X
Nephrology Physician
Primary
4301053010
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
102889716
MI
Enumeration date
07/06/2006
Last updated
03/17/2026
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