Individual
JENS BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3119 WOODMAN DR, ALTOONA, WI 54720-2668
(715) 717-6700
Mailing address
PO BOX 19070, GREEN BAY, WI 54307-9070
(920) 496-4700
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
5101022503
MI
207YS0123X
Facial Plastic Surgery Physician
Primary
75754-21
WI
Other
Enumeration date
05/23/2016
Last updated
06/09/2023
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