Healthcare Provider Details

I. General information

NPI: 1013840321
Provider Name (Legal Business Name): MEGAN BRZOZOWSKI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/05/2026
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1972 CLARK AVE
ALLIANCE OH
44601-3929
US

IV. Provider business mailing address

5512 PRESTWICK LN
HIGHLAND HEIGHTS OH
44143-1971
US

V. Phone/Fax

Practice location:
  • Phone: 330-823-3844
  • Fax:
Mailing address:
  • Phone: 440-465-5586
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: