Individual
DR. THOMAS J. BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
110 E FRANKLIN ST, SPARTA, WI 54656-1877
(608) 269-2666
Mailing address
1715 S HIGHLAND DR, SPARTA, WI 54656-1538
(608) 269-7678
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3359
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33466800
—
WI
Enumeration date
09/27/2006
Last updated
07/09/2007
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