Doctor Name: | JENNIFER MARIE BROWN |
NPI Number: | 1598956559 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 036.117814 |
Business Practice Address: | 2020 E 28th St Minneapolis, MN - 554071394 |
Business Phone Number: | 7736783242 |
Business Fax Number: | |
Mailing Address: | 2020 E 28th St, MINNEAPOLIS |
State: | MN |
Postal Code: | 554071394 |
Phone Number: | 7736783242 |
Fax Number: | |
NPI Enumeration Date: | 08/06/2007 |
NPI Last Update Date: | 06/16/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 036.117814 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |