Individual
MISS MAGGIE JANE BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
50003630
OH
363A00000X
Physician Assistant
Primary
50.003630RX
OH
Other
Enumeration date
11/02/2012
Last updated
08/03/2016
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