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NPI Code Detail

MEDICARE: LEE A BRICKER M.D.

MEDICARE: LEE A BRICKER M.D.
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
1207RE0101XEndocrinology, Diabetes & Metabolism Physician4301071303MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11103903771OTHERBCBS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1760450035
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEE A BRICKER M.D.
Provider Business Mailing Address
First Line : 1000 OAKLAND DR
Second Line :
City : KALAMAZOO
State : MI
Zip : 49008-1282
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1000 OAKLAND DR
Second Line :
City : KALAMAZOO
State : MI
Zip : 49008-1282
Country : US
Telephone Number : 269-337-6300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/10/2006
Last Update Date : 04/04/2013

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Directions to “ LEE A BRICKER M.D.” Practice Location

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