Individual
MICHAEL R BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2414 KOHLER MEMORIAL DR, SHEBOYGAN, WI 53081-3129
(920) 457-4461
Mailing address
2414 KOHLER MEMORIAL DR, SHEBOYGAN, WI 53081-3129
(920) 457-4461
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
31283
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32043300
—
WI
Enumeration date
01/08/2007
Last updated
11/29/2021
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