Individual
JARED BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
WMU SCHOOL OF MEDICINE, 1000 OAKLAND DRIVE, KALAMAZOO, MI 49008
(269) 337-4400
Mailing address
101 THE CITY DR S BLDG 1, ORANGE, CA 92868-3201
(714) 456-6411
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
207ZP0101X
CA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
4351046918
MI
Other
Enumeration date
06/25/2017
Last updated
07/06/2020
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