institution
Donald J. Brockriede, D.d.s., P.c.
Dental Clinic/Center in North Branch, Michigan
NPI 1598977795

Donald J. Brockriede, D.d.s., P.c. is a Dental Clinic/Center based in North Branch, MI and is specialized in Dental. Donald J. Brockriede, D.d.s., P.c. practices in North Branch, MI. The NPI Number for Donald J. Brockriede, D.d.s., P.c. is 1598977795 and holds a License No. 2901010543 (Michigan).

The current practice location address for Donald J. Brockriede, D.d.s., P.c. is 3720 Huron St, North Branch, MI and can be reached out via phone at 810-688-3008 and via fax at 810-688-2429.

Location: 3720 Huron St, North Branch, MI, 48461-0707
institution
Provider Profile Details
NPI Number
1598977795
Provider Name
Donald J. Brockriede, D.d.s., P.c.
Credential
Provider Entity Type
Organization
Address
3720 Huron St, North Branch, MI, 48461-0707
Phone Number
810-688-3008
Fax Number
810-688-2429
Provider Enumeration Date
05/03/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
D105430 01 MI BCBS OF MICH. DENTAL PROV
5446023 01 MI BCBS MEDICAL PROVIDER
institution
Provider Business Practice Location Address Details
Address
3720 Huron St
City
State
Zip
48461-8117
Phone Number
810-688-3008
Fax Number
810-688-2429
person
Provider Business Mailing Address Details
Address
3720 Huron St
City
State
Zip
48461-8117
Phone Number
810-688-3008
Fax Number
810-688-2429
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
2901010543 (Michigan)
Definition
Definition to come...
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