Individual
BROOK LYNN DAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
502 W HARRIE ST, NEWBERRY, MI 49868-1209
(906) 293-9200
Mailing address
315 W VICTORY WAY, NEWBERRY, MI 49868-1647
(906) 450-0729
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704322308
MI
Other
Enumeration date
09/28/2018
Last updated
09/28/2018
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