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Individual

MRS. MADELINE BOYD BROWN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
16150 MEYERS ROAD, DETROIT, MI 48235-4107
(313) 345-7940
(313) 534-7796
Mailing address
16150 MEYERS ROAD, DETROIT, MI 48235-4107
(313) 345-7940
(313) 534-7796

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101008062
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0158210755
BCBS
MI
05
1876268
MI
Enumeration date
03/19/2007
Last updated
07/08/2007
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