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Individual

DR. MICHAEL J BROOKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
C1-0006959
DE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000212086
UNISON HEALTH PLAN
DE
05
1000023211
DE
01
2212163000
KEYSTONE
DE
01
3280620
AETNA HMO
DE
01
4326528
AETNA PPO
DE
01
G24671
BLUE CROSS BLUE SHIELD
DE
01
P00186386
RAILROAD MEDICARE NUMBER
DE
Enumeration date
08/09/2005
Last updated
07/29/2022
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