Provider Demographics
NPI:1154296135
Name:BRINK, STEFAN (ND, OMD)
Entity type:Individual
Prefix:DR
First Name:STEFAN
Middle Name:
Last Name:BRINK
Suffix:
Gender:M
Credentials:ND, OMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1120 N WASHINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:ROYAL OAK
Mailing Address - State:MI
Mailing Address - Zip Code:48067-4342
Mailing Address - Country:US
Mailing Address - Phone:248-544-2022
Mailing Address - Fax:248-544-7711
Practice Address - Street 1:1120 N WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:ROYAL OAK
Practice Address - State:MI
Practice Address - Zip Code:48067-4342
Practice Address - Country:US
Practice Address - Phone:248-544-2022
Practice Address - Fax:248-544-7711
Is Sole Proprietor?:No
Enumeration Date:2025-10-08
Last Update Date:2025-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No175F00000XOther Service ProvidersNaturopath