Individual
DANIELLE BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
12340 BITTERSWEET COMMONS BLVD W, GRANGER, IN 46530-6959
(574) 271-8610
(574) 271-8620
Mailing address
3245 HEALTH DR STE 100, GRANGER, IN 46530-1380
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300050297
—
IN
Enumeration date
08/12/2020
Last updated
11/22/2024
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