# O WILLIAM BROWN MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578786125
- **Authorized official:** DR. OTTO WILLIAM BROWN MD (OWNER)
- **Authorized official phone:** (248) 433-0881

## Contact information

- **Practice address:** 31700 TELEGRAPH RD, SUITE 140, BINGHAM FARMS, MI 48025-3407
- **Practice address phone:** (248) 433-0881
- **Mailing address:** 31700 TELEGRAPH RD, SUITE 140, BINGHAM FARMS, MI 48025-3407
- **Mailing address phone:** (248) 433-0881

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | 4301043496 | MI | Yes |

## Other

- **Enumeration date:** 04/11/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2115358 | — | MI |
| 01 | — | BLUE CROSS | 0206353071 | MI |