Individual
DR. SANDRA R. BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1144 W PLYMOUTH ST, BREMEN, IN 46506-1842
(574) 546-5363
(574) 546-2575
Mailing address
3245 HEALTH DR STE 100, GRANGER, IN 46530-1380
(574) 647-2129
(574) 237-6069
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
01027735A
IN
207VG0400X
Gynecology Physician
Primary
01027735A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100338010
—
IN
Enumeration date
06/05/2006
Last updated
06/25/2024
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