| Brookside Internal Medicine, P.c. | |
|
24230 Karim Blvd Suite 130 Novi MI 48375-2960 | |
| (248) 919-1100 | |
| Not Available |
| Full Name | Brookside Internal Medicine, P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 24230 Karim Blvd, Novi, Michigan |
| Authorized Official Name and Position | Elaina Vayntrub (PRESIDENT/OWNER) |
| Authorized Official Contact | 2489191100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brookside Internal Medicine, P.c. 24230 Karim Blvd Suite 130 Novi MI 48375-2960 Ph: (248) 919-1100 | Brookside Internal Medicine, P.c. 24230 Karim Blvd Suite 130 Novi MI 48375-2960 Ph: (248) 919-1100 |
| NPI Number | 1033357405 |
|---|---|
| Provider Enumeration Date | 01/23/2009 |
| Last Update Date | 01/23/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033357405 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 4301073103 (Michigan) | Primary |
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