NPI 1396005237

Michael Joel Brown, DDS

Practitioner General Practice Dentistry Holmen, WI

Practice location

Address: 106 S Holmen Dr, Holmen, WI 54636-9467
Phone: (608) 526-9243
Fax: (608) 526-1099
Mailing address: 508 Woodard Ave, Tomah, WI 54660-2051

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 6981-15 (WI)

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Registry record

NPI: 1396005237
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 May 2012
Record last updated: 23 Mar 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.