Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 4301069826 | MI |
N | 207Y00000X | Otolaryngologist (ENT Doctor) | D62105 | MD |
N | 207YP0228X | Pediatric Otolaryngology | 4301069826 | MI |
NPI | 1639137110 |
---|---|
Provider Name | Dr. David J Brown |
First Address | Ann Arbor, MI 48108 |
Second Address | Ann Arbor, MI 48109-5312 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/05/2006 |
Last Update Date | 02/04/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
405533100 | (05) | MD |
I17175 | (02) | MD |
I17175 | (02) | MI |