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Individual

VANCE M BROWN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
96 CAMPUS DR, SUITE 2C, SCARBOROUGH, ME 04074-7163
(207) 883-7926
(207) 883-1925
Mailing address
301C US ROUTE 1, SCARBOROUGH, ME 04074-9701
(207) 396-8600
(207) 396-8632

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
35077106B
OH
207Q00000X
Family Medicine Physician
Primary
MD18087
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2135497
OH
Enumeration date
08/17/2006
Last updated
04/16/2012
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