Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0002X | Hospice and Palliative Medicine | 011654 | OH |
NPI | 1356607311 |
---|---|
Provider Name | Matthew Richard Brown |
First Address | Sandusky, OH 44870-5078 |
Second Address | Sandusky, OH 44870-3323 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/04/2012 |
Last Update Date | 18/07/2015 |