Individual
MS. JULIE JORDAN BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCA
Contact information
Practice address
3400 S 103RD ST STE 200, MILWAUKEE, WI 53227-4163
(414) 543-1002
(414) 543-0137
Mailing address
3400 S 103RD ST STE 200, MILWAUKEE, WI 53227-4163
(414) 543-1002
(414) 543-0137
Taxonomy
Speciality
Code
Description
License number
State
229N00000X
Anaplastologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41653200
—
WI
Enumeration date
03/09/2018
Last updated
06/11/2019
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