Individual
BROOK CENTOFANTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2689
(313) 736-6662
Mailing address
2799 W GRAND BLVD, DETROIT, MI 48202-2689
(313) 736-6662
Taxonomy
Speciality
Code
Description
License number
State
2084E0001X
Epilepsy Physician
5101028499
MI
2084N0400X
Neurology Physician
Primary
5101028499
MI
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/06/2021
Last updated
05/15/2026
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