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Individual

ELIZABETH ROUENE BROWN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2615 FAIRWAY ST, DICKINSON, ND 58601-2590
(701) 456-6000
Mailing address
2615 FAIRWAY ST, DICKINSON, ND 58601-2590
(701) 456-6000

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
19647
ND
207V00000X
Obstetrics & Gynecology Physician
76433
MT
207V00000X
Obstetrics & Gynecology Physician
9625A
WY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
137575000
WY
01
W26353
WYOMING MEDICARE
WY
Enumeration date
06/09/2010
Last updated
08/10/2023
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