Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 16787 | MN |
N | 2080P0205X | Pediatric Endocrinologist | 16787 | MN |
N | 2080P0210X | Pediatric Nephrologist | 16787 | MN |
NPI | 1972530129 |
---|---|
Provider Name | Dr. David Mitchell Brown |
First Address | Minneapolis, MN 55455 |
Second Address | Minneapolis, MN 55455 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/06/2006 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0500694 | (05) | IA |
1008996 | PREFERRED ONE (01) | MN |
2T268BR | BCBS (01) | MN |
31265300 | (05) | WI |
33-00031 | MEDICA PRIMARY (01) | MN |
33-00262 | MEDICA CHOICE (01) | MN |
A95054 | (02) | MN |
B709 | CHAMPUS (01) | MN |
HP28822 | HEALTHPARTNERS (01) | MN |