Provider Demographics
NPI:1619960655
Name:BROWN, STEVEN M (MD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:M
Last Name:BROWN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:11469 OLIVE BLVD STE 267
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63141-7108
Mailing Address - Country:US
Mailing Address - Phone:414-581-5864
Mailing Address - Fax:636-778-9230
Practice Address - Street 1:133 BRIGHTHURST DR
Practice Address - Street 2:
Practice Address - City:CHESTERFIELD
Practice Address - State:MO
Practice Address - Zip Code:63005
Practice Address - Country:US
Practice Address - Phone:414-581-5864
Practice Address - Fax:636-778-9230
Is Sole Proprietor?:No
Enumeration Date:2005-08-24
Last Update Date:2022-09-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WI29345207RP1001X
MO201103871207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI31423500Medicaid
WI000102895Medicare ID - Type Unspecified
WIE70984Medicare UPIN