Individual
DOUGLAS R BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2400 PINE RIDGE BLVD, WAUSAU, WI 54401-7803
(715) 847-2022
Mailing address
2400 PINE RIDGE BLVD, WAUSAU, WI 54401-7803
(715) 847-2022
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
40651
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020039235
RR MEDICARE
—
01
—
0201111271
BLUE CROSS PIN
MI
05
—
062227300
—
MN
01
—
1045807
AMERICAS PPO
MN
01
—
122980
UCARE
MN
01
—
1700203
MEDICA
MN
01
—
29B02BR
BCBS
MN
01
—
41084933956001C130
CHAMPUS
—
05
—
5000030
—
MI
05
—
62227300
—
WI
01
—
HP26576
HEALTH PARTNERS
MN
01
—
NA2951023818
PREFFERED ONE
MN
Enumeration date
01/10/2006
Last updated
03/07/2023
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