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Individual

MR. DONALD F. BROOKS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
450 MEDICAL PARK DR, SUITE # 400, WATERVLIET, MI 49098-8531
(269) 463-3044
(269) 463-8170
Mailing address
450 MEDICAL PARK DR, SUITE # 400, WATERVLIET, MI 49098-8531
(269) 463-3044
(269) 463-8170

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
4301067099
MI
207RC0000X
Cardiovascular Disease Physician
Primary
4301060799
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
103069741
MI
Enumeration date
05/05/2006
Last updated
06/19/2024
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