| Doctor Name: | MRS. BROOKE MICHELLE PERLIK |
| NPI Number: | 1164618302 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PAC |
| License Number: | 50.002657 |
| Business Practice Address: | 34600 Chardon Rd Unit 7 Willoughby Hills, OH - 440948481 |
| Business Phone Number: | 4406026737 |
| Business Fax Number: | 4409420316 |
| Mailing Address: | 34600 Chardon Rd Unit 7, WILLOUGHBY HILLS |
| State: | OH |
| Postal Code: | 440948481 |
| Phone Number: | 4406026737 |
| Fax Number: | 4409420316 |
| NPI Enumeration Date: | 09/21/2007 |
| NPI Last Update Date: | 07/18/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 50.002657 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |