Individual provider · NPI-1

Dr. Camille Brazzle, MD

Family Medicine · Okemos, MI

NPI number1194286484

StatusActive

Last updated in NPPESNov 16, 2023

Details

NPI: 1194286484
Entity type: Individual (NPI-1)
Name: Dr. Camille Brazzle
Credential: MD
Sex: Female
Sole proprietor: No
Enumeration date: Mar 28, 2019
Certification date: Nov 16, 2023
Last updated: Nov 16, 2023

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207Q00000X	Family Medicine	4301506233	MI	Yes

Practice location

2205 Jolly Rd Ste B
Okemos, MI 48864-3983

Phone 517-347-4085 · Fax 855-618-6655

Mailing address

Po Box 639295 Dept 93394
Cincinnati, OH 45263-9295

Phone 248-266-4200 · Fax 855-618-6655

Other practice locations

24911 Little Mack Ave Ste C
Saint Clair Shores, MI 48080-3200

Phone 586-777-2050 · Fax 586-777-2189

5640 W Maple Rd Ste 310
West Bloomfield, MI 48322-3719

Phone 248-932-8585

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