Individual
DR. HOWARD S BRODE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10 W SQUARE LAKE RD STE 303, BLOOMFIELD HILLS, MI 48302-0468
(248) 333-1010
Mailing address
10 W SQUARE LAKE RD STE 303, BLOOMFIELD HILLS, MI 48302-0468
(248) 333-1010
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301043351
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
043351
DR. LICENSE NUMBER
MI
01
—
0630302
MEDICARE PROVIDER
MI
01
—
260630322
BCBS PROVIDER
MI
01
—
B43800
UPIN
MI
Enumeration date
02/26/2007
Last updated
09/21/2007
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