Individual
DR. BROCK ANDREW HARDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2490 S 11TH ST STE 201, KALAMAZOO, MI 49009-2175
(269) 343-1535
Mailing address
2490 S 11TH ST STE 201, KALAMAZOO, MI 49009-2175
(269) 343-1535
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
4301504273
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100624900
—
KY
Enumeration date
04/07/2015
Last updated
09/26/2024
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