Individual
WILLIAM BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
29800 GLYNN LEE CT, NEW HUDSON, MI 48165-9523
(248) 862-4898
Mailing address
29800 GLYNN LEE CT, NEW HUDSON, MI 48165-9523
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703117205
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4703117205
—
MI
Enumeration date
02/12/2017
Last updated
02/12/2017
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