NPI
Gary Wayne Brown
NPI 1487583787
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Credential
- cota/l
- Type
- Individual
- Enumeration date
- 2026-05-14
- Last updated
- 2026-05-14
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Specialties
Licenses
- License OH
- OTA002636
Location
- Practice location
- 2200 S Harborview Dr Lot 26
- City
- Lakeside Marblehead OH
- Postal code
- 43440-2444
- Phone
- (419) 561-0847
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Lakeside Marblehead, OH. 7 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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