Organization
O WILLIAM BROWN MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OTTO WILLIAM BROWN MD (OWNER)
(248) 433-0881
Entity
Organization
Contact information
Practice address
31700 TELEGRAPH RD, SUITE 140, BINGHAM FARMS, MI 48025-3407
(248) 433-0881
Mailing address
31700 TELEGRAPH RD, SUITE 140, BINGHAM FARMS, MI 48025-3407
(248) 433-0881
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
4301043496
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2115358
—
MI
01
—
BLUE CROSS
0206353071
MI
Enumeration date
04/11/2007
Last updated
08/22/2020
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