Provider Demographics
NPI:1083873384
Name:BROUWER, NATHAN AARON (MD)
Entity Type:Individual
Prefix:DR
First Name:NATHAN
Middle Name:AARON
Last Name:BROUWER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:334 S HOUGHTON ST
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:MI
Mailing Address - Zip Code:48381-2414
Mailing Address - Country:US
Mailing Address - Phone:414-699-5033
Mailing Address - Fax:
Practice Address - Street 1:1500 E MEDICAL CENTER DR
Practice Address - Street 2:B1 380 TC
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48109-5305
Practice Address - Country:US
Practice Address - Phone:734-763-7919
Practice Address - Fax:734-763-9298
Is Sole Proprietor?:No
Enumeration Date:2008-06-03
Last Update Date:2015-05-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4301092612207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine