Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 60907 | WI |
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | 60907 | WI |
NPI | 1932399193 |
---|---|
Provider Name | Dr. Heidi Wendell Brown |
First Address | Madison, WI 53792-0001 |
Second Address | Madison, WI 53792-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/07/2007 |
Last Update Date | 19/01/2021 |