Doctor Name: | SALLY ROSS BROWN |
NPI Number: | 1003002437 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 15449c Forest Blvd N Hugo, MN - 550387329 |
Business Phone Number: | 6514261548 |
Business Fax Number: | 6516539444 |
Mailing Address: | 15449c Forest Blvd N, HUGO |
State: | MN |
Postal Code: | 550387329 |
Phone Number: | 6514261548 |
Fax Number: | 6516539444 |
NPI Enumeration Date: | 09/19/2007 |
NPI Last Update Date: | 09/19/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |