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Individual

JOSEPH T BROWN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
1111 LEFFINGWELL AVE NE, SUITE 100, GRAND RAPIDS, MI 49525
(616) 459-7101
(616) 464-6170
Mailing address
1111 LEFFINGWELL AVE NE, SUITE 100, GRAND RAPIDS, MI 49525
(616) 459-7101
(616) 464-6170

Taxonomy

Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
5101015511
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4758615
MI
Enumeration date
10/10/2005
Last updated
02/05/2013
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