Provider Demographics
NPI:1225025638
Name:BROWN, SUSAN ANN (MD)
Entity Type:Individual
Prefix:
First Name:SUSAN
Middle Name:ANN
Last Name:BROWN
Suffix:
Gender:F
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:3333 BURNET AVE
Mailing Address - Street 2:DIVISION OF ADOLESCENT MEDICINE BUILDING A-8TH FLOOR
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45229-3026
Mailing Address - Country:US
Mailing Address - Phone:513-636-8602
Mailing Address - Fax:513-636-1129
Practice Address - Street 1:3333 BURNET AVE
Practice Address - Street 2:DIVISION OF ADOLESCENT MEDICINE BUILDING A-8TH FLOOR
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45229-3026
Practice Address - Country:US
Practice Address - Phone:513-636-8602
Practice Address - Fax:513-636-1129
Is Sole Proprietor?:No
Enumeration Date:2005-09-30
Last Update Date:2007-11-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OH35.0597862080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine