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Search › Michigan › 363LF0000X

Jackqulyn Brown

NPI 1194591719 · on the registry since 2023

Practice

Address
20755 Greenfield Rd Ste 100
Southfield, MI 48075
Phone
(248) 557-0507
Organisation at this address
Divi Md Pc
Detroit Eye Care
Detroit Eye Care
Shariot Care, Llc
Laz Medical Group Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
22

Registry record

Primary taxonomy
363LF0000X
363LF0000X
Also registered as
163W00000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-11-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan