Individual
DR. JACK R BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2435 MIDLAND RD, SAGINAW, MI 48603-3445
(989) 791-9380
(989) 791-9382
Mailing address
2435 MIDLAND RD, SAGINAW, MI 48603-3445
(989) 791-9380
(989) 791-9382
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
JB006565
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
107733211
—
MI
Enumeration date
03/16/2006
Last updated
11/20/2009
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