Individual
DR. MICHAEL J BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1941 LIMESTONE RD STE 120, WILMINGTON, DE 19808-5424
(302) 832-1545
(302) 834-4863
Mailing address
PO BOX 5372, WILMINGTON, DE 19808-0372
(302) 832-1545
(302) 834-4863
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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