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Individual

DR. GREGORY WENDELL BROWN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1314 E WALNUT ST, WASHINGTON, IN 47501-2860
(812) 254-2760
(812) 471-6650
Mailing address
PO BOX 1067, EVANSVILLE, IN 47706-1067
(812) 471-1591
(812) 471-6650

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
01036499A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200008180A
IN
Enumeration date
10/11/2006
Last updated
09/17/2015
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