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NPI Code Detail

MEDICARE: DR. STEFAN BRINK ND, OMD

MEDICARE:  DR. STEFAN  BRINK  ND, OMD
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
1175F00000XNaturopath
2171100000XAcupuncturist

General Provider Information

NPI Number : 1154296135
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STEFAN BRINK ND, OMD
Provider Business Mailing Address
First Line : 1120 N WASHINGTON AVE
Second Line :
City : ROYAL OAK
State : MI
Zip : 48067-4342
Country : US
Telephone Number : 248-544-2022
Fax Number : 248-544-7711
Provider Business Practice Location Address
First Line : 1120 N WASHINGTON AVE
Second Line :
City : ROYAL OAK
State : MI
Zip : 48067-4342
Country : US
Telephone Number : 248-544-2022
Fax Number : 248-544-7711
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/08/2025
Last Update Date : 10/08/2025

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Directions to “ DR. STEFAN BRINK ND, OMD” Practice Location

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