Individual
DOUGLAS M BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1105 6TH STREET, TRAVESE CITY, MI 49684
(231) 935-7100
(231) 935-7126
Mailing address
1105 6TH STREET, TRAVESE CITY, MI 49684
(231) 935-7100
(231) 935-7126
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
058351
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4173940
—
MI
Enumeration date
07/21/2006
Last updated
07/08/2007
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