Individual
MR. PAUL ROBERT BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA C
Contact information
Practice address
2222 CHERRY ST, MOB 2 - STE 1250 C/O MERCY CARDIOTHORACIC SURGICAL, TOLEDO, OH 43608-2673
(419) 251-3180
(419) 251-3849
Mailing address
449 MOCKINGBIRD CT, LINDENHURST, IL 60046-4933
(847) 316-6844
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
085000868
IL
363AS0400X
Surgical Physician Assistant
50001371
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50-001371
MEDICAL LICENSE
OH
Enumeration date
12/28/2007
Last updated
05/03/2012
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