Individual
DR. OTTO WILLIAM BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
31700 TELEGRAPH RD, SUITE 140, BINGHAM FARMS, MI 48025-3407
(248) 433-0881
(248) 433-1628
Mailing address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849
(248) 433-0881
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
4301043496
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020002993
MEDICARE RR
MI
05
—
2115358
—
MI
Enumeration date
08/28/2006
Last updated
04/10/2024
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