Individual
DR. SHANNON BROWN ROUTHOUSKA
Active
Individual
DR. SHANNON BROWN ROUTHOUSKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
233098-01
NY
207N00000X
Dermatology Physician
57.009255
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03135811
—
NY
01
—
233098
MEDICAL LICENSE
NY
Enumeration date
06/11/2007
Last updated
10/20/2022
Update your record
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