Individual provider · NPI-1

Heather Susan Brown, MD

Family Medicine · Waukesha, WI

NPI number1194997171
StatusActive
Last updated in NPPESJul 9, 2014

Details

NPI
1194997171
Entity type
Individual (NPI-1)
Name
Heather Susan Brown
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
Mar 30, 2008
Last updated
Jul 9, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine54116-020WIYes

Other names

  • Heather Susan Greidanus (Former Name)

Practice location

717 W Moreland Blvd
Prohealth Care Medical Associates INC
Waukesha, WI 53188-2432

Phone 262-542-9100 · Fax 262-542-7366

Mailing address

717 W Moreland Blvd
Prohealth Care Medical Associates INC
Waukesha, WI 53188-2432

Phone 262-542-9100 · Fax 262-542-7366

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Family Medicine providers in Waukesha, WI