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Dr. Michael Joel Brown, D.D.S.

Dentist, General Practice in Holmen, WI. Individual provider (NPI-1).

NPI number1396005237
StatusActive
Last updated in NPPESMar 23, 2016

Details

NPI
1396005237
Entity type
Individual (NPI-1)
Name
Dr. Michael Joel Brown
Credential
D.D.S.
Sex
Male
Sole proprietor
No
Enumeration date
May 25, 2012
Last updated
Mar 23, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice6981-15WIYes

Practice location

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

Phone 414-587-2485

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