Doctor Name: | LEE BROWN |
NPI Number: | 1164609210 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | ME100844 |
Business Practice Address: | 40520 County Highway 34 Ogema, MN - 565699612 |
Business Phone Number: | 2189834300 |
Business Fax Number: | 2189836394 |
Mailing Address: | 40520 County Highway 34, OGEMA |
State: | MN |
Postal Code: | 565699612 |
Phone Number: | 2189834300 |
Fax Number: | 2189836394 |
NPI Enumeration Date: | 01/30/2008 |
NPI Last Update Date: | 02/01/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207QA0000X |
License Number: | ME100844 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Family Medicine |
Taxonomy Specialization: | Adolescent Medicine |
Taxonomy Definition: | A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs. |