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Individual

RICHARD SHANE BROWN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
477 COOPER RD, SUITE 440, WESTERVILLE, OH 43081-8053
(380) 898-5561
(380) 898-5563
Mailing address
477 COOPER RD STE 440, WESTERVILLE, OH 43081-8055
(380) 898-5561
(380) 898-5563

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
35.080268
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4811552
MI
Enumeration date
04/18/2006
Last updated
11/11/2022
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