Provider Demographics
NPI:1124363494
Name:BROWNE, MICHAEL ANNE (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL ANNE
Middle Name:
Last Name:BROWNE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:100 N SEPULVEDA BLVD
Mailing Address - Street 2:20TH FLOOR
Mailing Address - City:EL SEGUNDO
Mailing Address - State:CA
Mailing Address - Zip Code:90245-4359
Mailing Address - Country:US
Mailing Address - Phone:310-744-2716
Mailing Address - Fax:310-744-2751
Practice Address - Street 1:100 N SEPULVEDA BLVD
Practice Address - Street 2:20TH FLOOR
Practice Address - City:EL SEGUNDO
Practice Address - State:CA
Practice Address - Zip Code:90245-4359
Practice Address - Country:US
Practice Address - Phone:310-744-2716
Practice Address - Fax:310-744-2751
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-28
Last Update Date:2012-11-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG49758207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine