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Individual

DESRENE K BROWN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
547 HARMON RD, BLUFFTON, OH 45817
(419) 369-4600
(419) 369-4603
Mailing address
547 HARMON RD, PO BOX 129, BLUFFTON, OH 45817
(419) 369-4600
(419) 369-4603

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
35076441
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2149624
OH
01
BR0895734
MEDICARE OTTAWA
OH
Enumeration date
05/15/2006
Last updated
07/17/2015
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