Individual
SUZANNE BROWN HENRY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2593 HOLIDAY RD, CORALVILLE, IA 52241
(319) 248-0065
Mailing address
21 EAST VIEW PLACE NE, IOWA CITY, IA 52240
(319) 248-3013
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
35935
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
39732
WELLMARK
IA
Enumeration date
03/02/2006
Last updated
07/08/2007
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