Organization
MICHELLE R BROWN M.D. P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGIA DENNE (MANAGER)
(316) 269-5000
Entity
Organization
Contact information
Practice address
1515 S CLIFTON AVE, SUITE 320, WICHITA, KS 67218-2900
(316) 263-5889
Mailing address
PO BOX 782948, WICHITA, KS 67278-2948
(316) 263-5889
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110556
BCBS
KS
Enumeration date
06/14/2006
Last updated
08/09/2007
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