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NPI Code Detail

MEDICARE: MICHAEL BROWN

MEDICARE: MICHAEL 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
1175T00000XPeer SpecialistOK

General Provider Information

NPI Number : 1558226332
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL BROWN
Provider Business Mailing Address
First Line : 5007 S 76TH EAST AVE APT B
Second Line :
City : TULSA
State : OK
Zip : 74145-6206
Country : US
Telephone Number : 572-235-7065
Fax Number :
Provider Business Practice Location Address
First Line : 6111 E SKELLY DR
Second Line :
City : TULSA
State : OK
Zip : 74135-6100
Country : US
Telephone Number : 844-458-2100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/23/2025
Last Update Date : 12/23/2025

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Directions to “ MICHAEL BROWN ” Practice Location

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