Organization
ANGELIQUE D. BROWN, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANGELIQUE D BROWN M.D. (PHYSICIAN/OWNER)
(219) 887-1340
Entity
Organization
Contact information
Practice address
6111 HARRISON ST, SUITE 331, MERRILLVILLE, IN 46410-2969
(219) 887-1340
(219) 887-1518
Mailing address
6111 HARRISON ST, SUITE 331, MERRILLVILLE, IN 46410-2969
(219) 887-1340
(219) 887-1518
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
01045570B
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01045570A
PHYSICIAN LICENSE
IN
01
—
01045570B
CONTROLLED SUBSTANCE #
IN
01
—
207Q0000X
TAXONOMY #
IN
Enumeration date
09/25/2007
Last updated
03/07/2023
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