Mark R Brown, D.O.
Family Medicine in St Henry, OH. Individual provider (NPI-1).
NPI number1982604880
StatusActive
Last updated in NPPESFeb 15, 2008
Details
- NPI
- 1982604880
- Entity type
- Individual (NPI-1)
- Name
- Mark R Brown
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 21, 2005
- Last updated
- Feb 15, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 34 005329 | OH | Yes |
Practice location
442 Stachler DrSt Henry, OH 45883-9582
Phone 419-678-2371 · Fax 419-678-4783
Mailing address
442 Stachler DrP.O. Box 308
St Henry, OH 45883-9582
Phone 419-678-2371 · Fax 419-678-4783
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