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Contact Information

MICHAEL P BROOK, MD
407 14TH AVE SE
PUYALLUP, WA98372-3770
 Phone: 253-697-1848
 Fax: 253-770-5990
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for MICHAEL P BROOK · (Male)

NPI Number 1295762060
Status Active
Credentials MD
Entity Individual
Enumeration date 06/27/2006
Last updated 06/27/2008 - About 18 years ago
Sole proprietor 1 Yes
Identifiers
  • WA License # MD00027057
  • WA Medicaid 8116923
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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