Organization
ELLA E M BROWN CHARITABLE CIRCLE
Active
Organization
ELLA E M BROWN CHARITABLE CIRCLE
Active
Other names
OAKLAWN HOSPITAL
Organization subpart
No
Provider details
NPI number
Authorized official
MS. COLLEEN M KOPPENHAVER (CHIEF FINANCIAL OFFICER)
(269) 789-3921
Entity
Organization
Contact information
Practice address
200 N MADISON ST, MARSHALL, MI 49068-1143
(269) 781-4271
Mailing address
200 N MADISON ST, MARSHALL, MI 49068-1143
(269) 781-4271
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0A34723
MEDICARE
MI
Enumeration date
09/20/2007
Last updated
03/11/2008
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