DEON D MIDDLEBROOK M D PC NPI 1689885535

NPI Information

DEON D MIDDLEBROOK M D PC is a medical genetics phd medical genetics in Detroit, MI. The provider is a medical geneticist works in association with a medical specialist, is affiliated with a clinical genetics program, and serves as a consultant to medical and dental specialists. DEON D MIDDLEBROOK M D PC NPI is 1689885535. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

20176 LIVERNOIS AVE
DETROIT, MI
ZIP 48221-346
Phone: (313) 864-3000
Fax: (313) 864-5423

The provider's authorized official is Deon David Middlebrook .
The authorized official title is Owner and has the following contact phone number (313) 864-3000.

The CLIA number assigned to this NPI record is 23D1010900 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/24/2007 and was last updated on 9/14/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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