Doctor Name: | IRINA A BROWER |
NPI Number: | 1033385869 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | 0110001756 |
Business Practice Address: | 9230 Joseph Campau St Beaumont Metropolitan Medical Center Hamtramck, MI - 482123731 |
Business Phone Number: | 3138759270 |
Business Fax Number: | 3138759420 |
Mailing Address: | 130 Town Center Dr, 203 TROY |
State: | MI |
Postal Code: | 480841744 |
Phone Number: | 2485858218 |
Fax Number: | 2485858266 |
NPI Enumeration Date: | 05/01/2008 |
NPI Last Update Date: | 06/08/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 0110001756 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | VA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |