Individual
MICHAEL PAUL BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
19682 HESPERIAN BLVD STE 101A, HAYWARD, CA 94541-4752
(510) 917-4949
(510) 655-3341
Mailing address
5051 PROCTOR AVE, OAKLAND, CA 94618-2546
(510) 917-4949
(510) 655-3341
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E1971
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000E19710
—
CA
Enumeration date
05/22/2007
Last updated
09/18/2007
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