| |
25511 Van Dyke Ave, Center Line, MI 48015-1834 | |
(586) 758-5770 | |
(586) 758-6134 |
Full Name | |
---|---|
Type | Facility |
Speciality | Podiatrist |
Location | 25511 Van Dyke Ave, Center Line, Michigan |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730202482 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | (* (Not Available)) | Primary |
Provider Name | Lawrence S Brown |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1841327178 PECOS PAC ID: 6709770969 Enrollment ID: I20101215000553 |
Mailing Address | Practice Location Address |
---|---|
25511 Van Dyke Ave, Center Line, MI 48015-1834 Ph: (586) 758-5770 | 25511 Van Dyke Ave, Center Line, MI 48015-1834 Ph: (586) 758-5770 |
Lawrence Stephen Brown, DPM Podiatrist Medicare: May Accept Medicare Assignments Practice Location: 25511 Van Dyke Ave Ste 100, Center Line, MI 48015 Phone: 586-758-5770 Fax: 586-758-6134 |