Dr. Michael Jerome Brzozowski, M.D.
Family Medicine in Shawnee, OK. Individual provider (NPI-1).
NPI number1861791022
StatusActive
Last updated in NPPESOct 20, 2014
Details
- NPI
- 1861791022
- Entity type
- Individual (NPI-1)
- Name
- Dr. Michael Jerome Brzozowski
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 26, 2011
- Last updated
- Oct 20, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 28662 | OK | Yes |
Practice location
1102 W Macarthur StShawnee, OK 74804-1743
Phone 405-878-8110 · Fax 405-878-8101
Mailing address
1102 W Macarthur StShawnee, OK 74804-1743
Phone 405-878-8110 · Fax 405-878-8101
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