| Doctor Name: | CAROLYN L BROWN |
| NPI Number: | 1699908384 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 1400 |
| Business Practice Address: | 12203 Aberdeen St Ne Suite 120 Blaine, MN - 554495174 |
| Business Phone Number: | 7636393595 |
| Business Fax Number: | |
| Mailing Address: | 12203 Aberdeen St Ne, Suite 120 BLAINE |
| State: | MN |
| Postal Code: | 554495174 |
| Phone Number: | 7636393595 |
| Fax Number: | |
| NPI Enumeration Date: | 08/27/2009 |
| NPI Last Update Date: | 09/30/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 1400 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |