Individual
ANTWAN JANEIRO BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BA, CM
Contact information
Practice address
1101 BALL AVE NE, GRAND RAPIDS, MI 49505-5904
(616) 456-6571
Mailing address
1835 CREED CT SW, WYOMING, MI 49519-9511
(616) 466-1393
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
MI
Other
Enumeration date
03/15/2018
Last updated
03/15/2018
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