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NPI Code Detail

MEDICARE: KARLEY BROUWER

MEDICARE:   KARLEY  BROUWER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225800000XRecreation Therapist69898MI

General Provider Information

NPI Number : 1861367187
Entity Type Code : Individual
Provider Name (Legal Business Name) : KARLEY BROUWER
Provider Business Mailing Address
First Line : 6105 W ST JOE HWY STE 211
Second Line :
City : LANSING
State : MI
Zip : 48917-4850
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6105 W ST JOE HWY STE 211
Second Line : SUITE 211
City : LANSING
State : MI
Zip : 48917-4850
Country : US
Telephone Number : 888-619-9735
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/07/2025
Last Update Date : 10/07/2025

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Directions to “ KARLEY BROUWER ” Practice Location

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