Individual
JOHN V BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1231 PINE GROVE AVE, INFECTIOUS DISEASE, SUITE 1B, PORT HURON, MI 48060-3500
(810) 966-1993
(810) 966-1997
Mailing address
15474 N HAGGERTY RD, PLYMOUTH, MI 48170-4893
(734) 335-6103
(630) 734-4715
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
4301056328
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1598731473
—
MI
Enumeration date
02/28/2006
Last updated
01/19/2016
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