Individual
MARY CAROLE BROWN-HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-7700
(216) 286-6341
Mailing address
3605 WARRENSVILLE CENTER RD, 1ST FL, MSC9152, SHAKER HEIGHTS, OH 44122-5203
(216) 286-6299
(216) 286-6341
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35-076532
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000189644
ANTHEM
OH
01
—
000000221121
UNISON
OH
01
—
000000525911
ANTHEM
OH
01
—
1021101760001
PA MEDICAID
PA
01
—
2138798
BCMH
OH
05
—
2138798
—
OH
01
—
2467730
AETNA
OH
01
—
363383
WELLCARE
OH
01
—
738037
BUCKEYE
OH
Enumeration date
07/24/2006
Last updated
08/21/2009
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