Individual
MR. BRYAN DOUGLAS BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
5900 BYRON CENTER AVE SW, WYOMING, MI 49519-9686
(616) 252-7145
Mailing address
942 SHERMAN ST SE, GRAND RAPIDS, MI 49506-2608
(810) 357-6326
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F05190794
MI
Other
Enumeration date
05/30/2019
Last updated
05/30/2019
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