Basic Information
Provider Information
NPI: 1154511046
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BROWNE
FirstName: RONALD
MiddleName: ORIE
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1100 MERCER AVE
Address2:  
City: DECATUR
State: IN
PostalCode: 467332303
CountryCode: US
TelephoneNumber: 2607242145
FaxNumber: 2085241222
Practice Location
Address1: 1100 MERCER AVE
Address2:  
City: DECATUR
State: IN
PostalCode: 46733
CountryCode: US
TelephoneNumber: 2607242145
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/27/2007
LastUpdateDate: 11/12/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000XM-10400IDN Allopathic & Osteopathic PhysiciansFamily Medicine 
207Q00000XR8235IAN Allopathic & Osteopathic PhysiciansFamily Medicine 
207Q00000X01081362AINY Allopathic & Osteopathic PhysiciansFamily Medicine 

No ID Information.


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