Provider Demographics
NPI:1104872373
Name:BROWN, FRANK C (MD)
Entity type:Individual
Prefix:DR
First Name:FRANK
Middle Name:C
Last Name:BROWN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:100 MICHIGAN STREET NE MC 845
Mailing Address - Street 2:
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49503-2560
Mailing Address - Country:US
Mailing Address - Phone:616-486-6790
Mailing Address - Fax:616-486-6702
Practice Address - Street 1:7751 BRYON CENTER AVE SW
Practice Address - Street 2:SUITE A
Practice Address - City:BRYON CENTER
Practice Address - State:MI
Practice Address - Zip Code:49315-8001
Practice Address - Country:US
Practice Address - Phone:616-878-3321
Practice Address - Fax:616-878-0858
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-26
Last Update Date:2021-02-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OH35084980207Q00000X
MI4301106934207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHI34303Medicare UPIN
OH2565835Medicaid
OHBR4163483Medicare PIN