Healthcare Provider Details

I. General information

NPI: 1700527892
Provider Name (Legal Business Name): ANN-MARIE DORN BROWNE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/05/2022
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 SCIOTO ST STE 4
URBANA OH
43078-2251
US

IV. Provider business mailing address

900 SCIOTO ST STE 4
URBANA OH
43078-2251
US

V. Phone/Fax

Practice location:
  • Phone: 937-653-4666
  • Fax: 937-653-3469
Mailing address:
  • Phone: 937-653-4666
  • Fax: 937-653-3469

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number35.154778
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: