Organization
POH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEITH ISAAC BROWN D.O. (GENERAL SURGERY RESIDENT/INTERN)
(816) 590-7375
Entity
Organization
Contact information
Practice address
2695 BEACON HILL DR APT 306, AUBURN HILLS, MI 48326-3752
(816) 590-7375
Mailing address
2695 BEACON HILL DR APT 306, AUBURN HILLS, MI 48326-3752
(816) 590-7375
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
5315045279
MI
Other
Enumeration date
07/19/2010
Last updated
07/19/2010
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