Individual
RODERICK BENJAMIN BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10 4TH AVE SE, GLENWOOD, MN 56334-1820
(320) 634-2215
(320) 634-2262
Mailing address
10 4TH AVE SE, GLENWOOD, MN 56334-1820
(320) 634-2215
(320) 634-2262
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
26202
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01-06787
MEDICA
—
01
—
01-08141
MEDICA
—
01
—
01-20641
MEDICA
—
01
—
1004387
PREFERRED ONE
—
01
—
110886
UCARE
—
01
—
21082BR
BLUE CROSS
MN
01
—
39-40025
MEDICA
—
01
—
4T897BR
BLUE CROSS
MN
01
—
FP0356
ARAZ
—
01
—
HP25406
HEALTH PARTNERS
—
Enumeration date
07/27/2006
Last updated
07/08/2007
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