Individual
JOHN COLLINS BRABANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
6071 W OUTER DR, DETROIT, MI 48235-2624
(313) 966-3101
Mailing address
35432 KENSINGTON AVE, STERLING HEIGHTS, MI 48312-3774
(248) 219-9220
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601007577
MI
Other
Enumeration date
10/05/2015
Last updated
10/05/2015
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