Shannon M Brown, MD
Family Medicine in Rice Lake, WI. Individual provider (NPI-1).
NPI number1528464898
StatusActive
Last updated in NPPESFeb 25, 2021
Details
- NPI
- 1528464898
- Entity type
- Individual (NPI-1)
- Name
- Shannon M Brown
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 13, 2014
- Certification date
- Feb 25, 2021
- Last updated
- Feb 25, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 63109-20 | WI | Yes |
Practice location
331 S Main StRice Lake, WI 54868-2253
Phone 715-236-8500
Mailing address
200 1st St SwRochester, MN 55905-0001
Phone 715-838-5222
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