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NPI Code Detail

MEDICARE: MONTGOMERY CLAYTON BROWER M.D.

MEDICARE: MONTGOMERY CLAYTON BROWER M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084A0401XAddiction Medicine (Psychiatry & Neurology) Physician4301113766MI
22084F0202XForensic Psychiatry Physician150175MA
32084F0202XForensic Psychiatry Physician4301113766MI
42084P0800XPsychiatry Physician150175MA
52084P0800XPsychiatry Physician4301113766MI

General Provider Information

NPI Number : 1124069372
Entity Type Code : Individual
Provider Name (Legal Business Name) : MONTGOMERY CLAYTON BROWER M.D.
Provider Business Mailing Address
First Line : 555 TOWNER ST
Second Line :
City : YPSILANTI
State : MI
Zip : 48198-5723
Country : US
Telephone Number : 734-544-3050
Fax Number :
Provider Business Practice Location Address
First Line : 555 TOWNER ST
Second Line :
City : YPSILANTI
State : MI
Zip : 48198-5723
Country : US
Telephone Number : 734-544-3050
Fax Number : 734-544-6732
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2006
Last Update Date : 07/21/2022

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