Individual
MR. CRAIG BROCKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
N.P.
Contact information
Practice address
11775 TECUMSEH CLINTON RD, CLINTON, MI 49236-9541
(517) 456-7449
(517) 456-6059
Mailing address
8770 HAWTHORNE DR, TECUMSEH, MI 49286-9504
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704166180
MI
Other
Enumeration date
06/14/2005
Last updated
03/31/2013
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