Organization
ASMSC - SBARRINGTON IL S C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLARENCE W BROWN JR. MD, JD (PRESIDENT / CEO)
(269) 985-0021
Entity
Organization
Contact information
Practice address
2 EXECUTIVE CT STE 3, SOUTH BARRINGTON, IL 60010-9507
(269) 985-0021
(269) 281-0281
Mailing address
2570 NILES RD, SAINT JOSEPH, MI 49085-3203
(269) 985-0021
(269) 281-0281
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
207ND0101X
MOHS-Micrographic Surgery Physician
—
—
Other
Enumeration date
12/22/2020
Last updated
12/22/2020
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