Individual
JOANNA KRISTINE BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
125 E BROAD ST, SUITE 219, ELYRIA, OH 44035-6400
(440) 326-5250
(440) 326-5255
Mailing address
125 E BROAD ST STE 201, ELYRIA, OH 44035-6429
(440) 328-3415
(216) 201-6614
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
35-096728
OH
208600000X
Surgery Physician
42061
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3119799
—
OH
01
—
42061
MEDICAL LICENSE
KY
Enumeration date
05/11/2007
Last updated
01/15/2021
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