Individual
BROOKE ELIZABETH BUBOLZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
456 S WAVERLY RD, EATON RAPIDS, MI 48827-9299
(517) 614-8344
Mailing address
456 S WAVERLY RD, EATON RAPIDS, MI 48827-9299
(517) 614-8344
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
10/03/2025
Last updated
10/03/2025
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