Brooke Elizabeth Bubolz, RD, PA
Physician Assistant in Rochester Hills, MI. Individual provider (NPI-1).
NPI number1922972793
StatusActive
Last updated in NPPESSep 20, 2026
Details
- NPI
- 1922972793
- Entity type
- Individual (NPI-1)
- Name
- Brooke Elizabeth Bubolz
- Credential
- RD, PA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 3, 2025
- Certification date
- Sep 20, 2026
- Last updated
- Sep 20, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 5601014346 | MI | Yes |
| 133V00000X | Dietitian, Registered | – | – |
Practice location
1349 S Rochester Rd Ste 210Rochester Hills, MI 48307-3152
Phone 248-844-2700
Mailing address
1349 S Rochester Rd Ste 210Rochester Hills, MI 48307-3152
Phone 248-844-2700
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All 64 Physician Assistant providers in Rochester Hills · All 2,526 providers in Rochester Hills
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