Provider Demographics
NPI:1912149055
Name:BROWN, MARSHALL ARTHUR (MD)
Entity type:Individual
Prefix:
First Name:MARSHALL
Middle Name:ARTHUR
Last Name:BROWN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:685 WESTFIELD ST
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48602-2749
Mailing Address - Country:US
Mailing Address - Phone:989-793-6167
Mailing Address - Fax:989-793-6167
Practice Address - Street 1:685 WESTFIELD ST
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48602-2749
Practice Address - Country:US
Practice Address - Phone:989-793-6167
Practice Address - Fax:989-793-6167
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-06
Last Update Date:2020-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301030390207Y00000X
GA63400207Y00000X
MI5315150690207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology