Maxwell Brown
Student in an Organized Health Care Education/Training Program in Port Huron, MI. Individual provider (NPI-1).
NPI number1124861489
StatusActive
Last updated in NPPESJun 17, 2024
Details
- NPI
- 1124861489
- Entity type
- Individual (NPI-1)
- Name
- Maxwell Brown
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 14, 2024
- Certification date
- Jun 17, 2024
- Last updated
- Jun 17, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | 4351053429 | MI | Yes |
Practice location
1216 Richardson StPort Huron, MI 48060-3549
Phone 810-985-2640 · Fax 810-962-8294
Mailing address
1216 Richardson StPort Huron, MI 48060-3549
Phone 810-985-2640 · Fax 810-962-8294
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All 40 Student in an Organized Health Care Education/Training Program providers in Port Huron · All 1,977 providers in Port Huron
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