Individual
ELIZABETH A BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
770 BALGREEN DR, SUITE 107, MANSFIELD, OH 44906-4106
(419) 522-0320
(419) 522-0350
Mailing address
335 GLESSNER AVE, MANSFIELD, OH 44903-2269
(419) 522-0320
(419) 522-0350
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
35.063708
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000231130
ANTHEM
OH
01
—
000000240080
UNISON
OH
01
—
000000560101
ANTHEM
OH
05
—
0261694
—
OH
Enumeration date
08/05/2006
Last updated
06/29/2020
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