Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152WC0802X | Optomitrist - Corneal and Contact Lenses | 733 | MT |
NPI | 1013132307 |
---|---|
Provider Name | Dr. Michelle Jacqueline Brown |
First Address | Billings, MT 59108-0686 |
Second Address | Billings, MT 59102-3027 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/04/2007 |
Last Update Date | 08/07/2007 |