Brookside Internal Medicine, P.c.

NPI #1033357405 in Novi, Michigan

Provider Information

NPI Number: 1033357405
Entity Type: Organization
Organization Name: Brookside Internal Medicine, P.c.
Primary Specialty: Internal Medicine
Enumeration Date: Jan 23, 2009
Last Updated: Jan 23, 2009

Practice Location

Address: 24230 KARIM BLVD
Address 2: SUITE 130
City: Novi
State: Michigan
ZIP Code: 48375-2960
Phone: (248) 919-1100

Authorized Official

Name: DR. ELAINA VAYNTRUB, M.D.
Title: PRESIDENT/OWNER
Phone: (248) 919-1100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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