Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BROOKE MORGAN GEDRICK, D.O
ActiveSports Medicine (EM) · CLINTON TOWNSHIP, MI
Registration Details
- NPI Number
- 1699093328
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 5, 2010 (15.964806565077 yrs)
- Last Updated
- Aug 28, 2019
- Licenses
-
75463 (GA)5101018910 (MI)
Practice Information
- Address
-
15855 19 MILE RDCLINTON TOWNSHIP, MI, 480383504Browse MI providers · Browse ZIP 48038
- Phone
- 5862632952
- Primary Specialty
-
Sports Medicine (EM)
207PS0010X
- Additional Specialty
- Sports Medicine (EM)
- Additional Specialty
- Emergency Medicine
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.