Provider Demographics
NPI:1033385869
Name:BROWER, IRINA A (PA-C)
Entity Type:Individual
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First Name:IRINA
Middle Name:A
Last Name:BROWER
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:130 TOWN CENTER DR
Mailing Address - Street 2:203
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48084-1744
Mailing Address - Country:US
Mailing Address - Phone:248-585-8218
Mailing Address - Fax:248-585-8266
Practice Address - Street 1:9230 JOSEPH CAMPAU ST
Practice Address - Street 2:BEAUMONT METROPOLITAN MEDICAL CENTER
Practice Address - City:HAMTRAMCK
Practice Address - State:MI
Practice Address - Zip Code:48212-3731
Practice Address - Country:US
Practice Address - Phone:313-875-9270
Practice Address - Fax:313-875-9420
Is Sole Proprietor?:No
Enumeration Date:2008-05-01
Last Update Date:2015-06-08
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Provider Licenses
StateLicense IDTaxonomies
VA0110001756363AM0700X
MI5601006604363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical