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Individual

MICHAEL ROBERT BROWN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
HIS

Contact information

Practice address
2055 W US HIGHWAY 50, FAIRVIEW HEIGHTS, IL 62208-2928
(618) 624-6485
(618) 624-6702
Mailing address
6 VICTORY DRIVE, LIBERTY, MO 64068
(816) 883-2660
(816) 792-9819

Taxonomy

Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
2008028705
MO
237700000X
Hearing Instrument Specialist
Primary
2757
IL

Other

Enumeration date
05/30/2012
Last updated
05/30/2012
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