Individual
BROOKE DANIELLE BLAZEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.UD
Contact information
Practice address
46325 W 12 MILE RD, NOVI, MI 48377-2456
(248) 865-4166
(248) 865-4198
Mailing address
30055 NORTHWESTERN HWY STE 101, FARMINGTON HILLS, MI 48334-3260
(248) 865-4166
(248) 865-4198
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
1601000808
MI
Other
Enumeration date
08/20/2018
Last updated
02/01/2022
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