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NPI Code Detail

MEDICARE: KRISTEN MARIE BROWSKI OD

MEDICARE: KRISTEN MARIE BROWSKI OD
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
1152W00000XOptometrist4901004596MI

General Provider Information

NPI Number : 1568770782
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTEN MARIE BROWSKI OD
Provider Business Mailing Address
First Line : 5500 AUTO CLUB DR
Second Line : ROSEVILLE
City : DEARBORN
State : MI
Zip : 48126-2779
Country : US
Telephone Number : 313-562-8000
Fax Number : 313-562-0810
Provider Business Practice Location Address
First Line : 735 JOHN R RD STE 150
Second Line :
City : TROY
State : MI
Zip : 48083-5859
Country : US
Telephone Number : 248-577-3659
Fax Number : 248-588-9917
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/22/2010
Last Update Date : 10/28/2020

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Directions to “ KRISTEN MARIE BROWSKI OD” Practice Location

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