Provider Demographics
NPI:1689665291
Name:BROOKS, JAMES S (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:S
Last Name:BROOKS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:29275 NORTHWESTERN HWY
Mailing Address - Street 2:STE 208
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48034-5744
Mailing Address - Country:US
Mailing Address - Phone:248-356-7772
Mailing Address - Fax:248-356-7779
Practice Address - Street 1:29275 NORTHWESTERN HWY
Practice Address - Street 2:STE 208
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48034-5744
Practice Address - Country:US
Practice Address - Phone:248-356-7772
Practice Address - Fax:248-356-7779
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-02
Last Update Date:2010-04-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI4301403985207YX0905X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YX0905XAllopathic & Osteopathic PhysiciansOtolaryngologyOtolaryngology/Facial Plastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI2833926Medicaid
MI2833926Medicaid
0634232Medicare ID - Type Unspecified