| Douglas Lloyd Brown, M.d., S.c. | |
|
17160 W North Ave Ste 202 Brookfield WI 53005-4437 | |
| (262) 797-6770 | |
| (262) 797-6772 |
| Full Name | Douglas Lloyd Brown, M.d., S.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 17160 W North Ave Ste 202, Brookfield, Wisconsin |
| Authorized Official Name and Position | Douglas Lloyd Brown (PRESIDENT) |
| Authorized Official Contact | 2629663854 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Douglas Lloyd Brown, M.d., S.c. 17160 W North Ave Ste 202 Brookfield WI 53005-4437 Ph: (262) 797-6770 | Douglas Lloyd Brown, M.d., S.c. 17160 W North Ave Ste 202 Brookfield WI 53005-4437 Ph: (262) 797-6770 |
| NPI Number | 1003963414 |
|---|---|
| Provider Enumeration Date | 01/05/2007 |
| Last Update Date | 09/30/2010 |
| Medicare PECOS PAC ID | 9335141530 |
|---|---|
| Medicare Enrollment ID | O20070131000574 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003963414 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 48007 (Wisconsin) | Primary |
| Provider Name | Douglas L Brown |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700945599 PECOS PAC ID: 3476555665 Enrollment ID: I20070131000501 |
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