Individual
STEPHEN BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSBS, PA-C
Contact information
Practice address
600 RICHLAND MALL, ONTARIO, OH 44906-1246
(419) 522-3751
Mailing address
700 N COLUMBUS ST, CRESTLINE, OH 44827-1455
(419) 462-3485
(419) 462-4582
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.007992RX
OH
Other
Enumeration date
01/01/2022
Last updated
03/20/2023
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