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NPI Code Detail

MEDICARE: AIMEE BROOKENS D.O

MEDICARE: AIMEE BROOKENS D.O
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
1208000000XPediatrics Physician5101019699MI

General Provider Information

NPI Number : 1760746788
Entity Type Code : Individual
Provider Name (Legal Business Name) : AIMEE BROOKENS D.O
Provider Business Mailing Address
First Line : 1717 N HIGH ST
Second Line :
City : LANSING
State : MI
Zip : 48906-4597
Country : US
Telephone Number : 517-371-1700
Fax Number :
Provider Business Practice Location Address
First Line : 1717 N HIGH ST
Second Line :
City : LANSING
State : MI
Zip : 48906-4597
Country : US
Telephone Number : 517-371-1700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/25/2012
Last Update Date : 12/05/2023

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Directions to “ AIMEE BROOKENS D.O” Practice Location

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