Individual
MR. PHILIP W. BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
555 LINN ST, ALLEGAN, MI 49010-1524
(269) 686-4141
Mailing address
1385 34TH ST, ALLEGAN, MI 49010-9384
(269) 686-4141
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704170258
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10-4315438
—
MI
01
—
43OZ36149
BLUE CROSS
MI
Enumeration date
03/20/2007
Last updated
07/08/2007
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