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Individual

JAMES BROWN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.A.

Contact information

Practice address
611 SHERMAN AVE E, FORT ATKINSON, WI 53538-1960
(920) 568-5330
(920) 568-5075
Mailing address
6400 INDUSTRIAL LOOP, GREENDALE, WI 53129-2452
(414) 423-4100
(414) 423-4134

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1745-023
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
41994400
WI
Enumeration date
01/17/2006
Last updated
02/16/2021
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