Organization
BROOKSIDE HEALTH CENTER P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK B SAFFER DPM (CEO)
(313) 291-2520
Entity
Organization
Contact information
Practice address
8790 TELEGRAPH RD, TAYLOR, MI 48180-2491
(313) 295-2520
(313) 581-0228
Mailing address
8790 TELEGRAPH RD, TAYLOR, MI 48180-2491
(313) 295-2520
(313) 581-0228
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
JD002075
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0H221790
BCBSM
MI
05
—
4543961
—
MI
Enumeration date
01/17/2008
Last updated
01/17/2008
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