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NPI Code Detail

MEDICARE: PETER M BROWN

MEDICARE: PETER M BROWN
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
1104100000XSocial Worker

General Provider Information

NPI Number : 1487200259
Entity Type Code : Individual
Provider Name (Legal Business Name) : PETER M BROWN
Provider Business Mailing Address
First Line : 29451 GREENFIELD RD
Second Line :
City : SOUTHFIELD
State : MI
Zip : 48076-2251
Country : US
Telephone Number : 248-864-5200
Fax Number :
Provider Business Practice Location Address
First Line : 29451 GREENFIELD RD
Second Line :
City : SOUTHFIELD
State : MI
Zip : 48076-2251
Country : US
Telephone Number : 586-719-0355
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/16/2019
Last Update Date : 08/17/2022

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Directions to “ PETER M BROWN ” Practice Location

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