Individual
JOHN BROWNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
75 SHORT ST NW, CEDAR RAPIDS, IA 52405-4203
(319) 390-3963
(319) 396-3886
Mailing address
PO BOX 1824, CEDAR RAPIDS, IA 52406-1824
(319) 369-4505
(319) 369-4677
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
31442
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4124354
—
IA
Enumeration date
03/25/2006
Last updated
10/25/2007
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