Individual
FREDERICK L BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
535 E SMITH RD, MEDINA, OH 44256-2637
(330) 725-7075
(330) 725-3988
Mailing address
535 E SMITH RD, MEDINA, OH 44256-2637
(330) 725-7075
(330) 725-3988
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36001409
OH
213ES0131X
Foot Surgery Podiatrist
36001409
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000130372
ANTHEM BCBS
OH
05
—
0267214
—
OH
Enumeration date
09/27/2005
Last updated
03/06/2008
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