Provider Demographics
NPI:1033576152
Name:BROWN, WILLIAM A (DVM, DACVIM (C))
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:A
Last Name:BROWN
Suffix:
Gender:M
Credentials:DVM, DACVIM (C)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24360 NOVI RD
Mailing Address - Street 2:
Mailing Address - City:NOVI
Mailing Address - State:MI
Mailing Address - Zip Code:48375-2462
Mailing Address - Country:US
Mailing Address - Phone:248-946-4322
Mailing Address - Fax:248-928-2260
Practice Address - Street 1:24360 NOVI RD
Practice Address - Street 2:
Practice Address - City:NOVI
Practice Address - State:MI
Practice Address - Zip Code:48375-2462
Practice Address - Country:US
Practice Address - Phone:248-946-4322
Practice Address - Fax:248-928-2260
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-20
Last Update Date:2016-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL5315045873174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian