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Individual

STEPHEN E BROWN

Active
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Individual

STEPHEN E BROWN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
01036248A
IN
207RI0011X
Interventional Cardiology Physician
01036248A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000641066
ANTHEM
IN
01
060070558
RR MEDICARE
IN
05
0784389
OH
05
100321270
IN
Enumeration date
08/12/2005
Last updated
04/28/2021
Update your record

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