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Michael Brown, HIS

NPI 1306107081 · on the registry since 2012

Practice

Address
2055 W Us Highway 50
Fairview Heights, IL 62208
Phone
(618) 624-6485
Fax
(618) 624-6702

Registry record

Primary taxonomy
237700000X
237700000X
Also registered as
237700000X
Licence states on file
IL, MO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2012-05-30

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 Illinois