Individual
DR. PATRICIA ANN ELLISON-BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1923 S UTICA AVE, TULSA, OK 74104-6520
(918) 744-3528
(918) 744-3529
Mailing address
1031 E SAGINAW ST, LANSING, MI 48906-5519
(517) 487-1288
(517) 487-1129
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
5101011644
MI
207P00000X
Emergency Medicine Physician
Primary
3024
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
382168683
TAX ID
MI
05
—
4117502
—
MI
Enumeration date
01/23/2007
Last updated
07/20/2018
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