Individual
PAMELA G BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
421 CAMELOT DR, FOND DU LAC, WI 54935-8335
(920) 926-8472
Mailing address
420 E DIVISION ST, FOND DU LAC, WI 54935-4560
(920) 926-8340
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2075
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38526800
—
WI
Enumeration date
11/02/2005
Last updated
10/29/2020
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