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Contact Information

BROOKE M GEDRICK, D.O
15855 19 MILE RD
CILNTON TOWNSHIP, MI48038-3504
 Phone: 586-263-2952
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Medicine

207PS0010X 93 Physician/Emergency Medicine
 

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for BROOKE M GEDRICK · (Female)

NPI # 1699093328
Status Active
Credentials D.O
Entity Individual
Enumeration date 05/05/2010
Last updated 08/28/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 75463
  • MI License # 5101018910
Hospital affiliation(s)
  • UNIVERSITY HOSPITAL - (Acute Care)
    1350 WALTON WAY
    AUGUSTA, GA 30901
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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