Individual
GRACE A. BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
7767 ELM CREEK BLVD N, SUITE 140, MAPLE GROVE, MN 55369-7041
(763) 416-6501
(763) 416-6505
Mailing address
7767 ELM CREEK BLVD N, SUITE 140, MAPLE GROVE, MN 55369-7041
(763) 416-6501
(763) 416-6505
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
3263-035
WI
152W00000X
Optometrist
Primary
3319
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
61320
DEAN HEALTH INSURANCE
WI
Enumeration date
06/21/2012
Last updated
08/05/2013
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