Provider Demographics
NPI:1891794350
Name:BROWN, SUSAN H (MD)
Entity Type:Individual
Prefix:DR
First Name:SUSAN
Middle Name:H
Last Name:BROWN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1009 W SAINT MAARTENS DR
Mailing Address - Street 2:
Mailing Address - City:SAINT JOSEPH
Mailing Address - State:MO
Mailing Address - Zip Code:64506-2990
Mailing Address - Country:US
Mailing Address - Phone:816-232-8145
Mailing Address - Fax:816-279-1840
Practice Address - Street 1:1009 W SAINT MAARTENS DR
Practice Address - Street 2:
Practice Address - City:SAINT JOSEPH
Practice Address - State:MO
Practice Address - Zip Code:64506-2989
Practice Address - Country:US
Practice Address - Phone:816-232-8145
Practice Address - Fax:816-279-1840
Is Sole Proprietor?:No
Enumeration Date:2005-07-18
Last Update Date:2007-10-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MOR8D62207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO5287269Medicare PIN
C51786Medicare UPIN