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Individual

KATHRYN MARIE BROWN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
130 N SHERMAN ST, LESLIE, MI 49251-9409
(517) 205-2500
Mailing address
2430 MERRILL ST, YPSILANTI, MI 48197-4347
(419) 345-3922

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
109264
IA
363A00000X
Physician Assistant
Primary
5601010382
MI
363A00000X
Physician Assistant
MI
363AM0700X
Medical Physician Assistant
109264
IA
363AS0400X
Surgical Physician Assistant
109264
IA

Other

Enumeration date
01/19/2021
Last updated
06/07/2022
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