Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0505X | Family Doctor - Adult Medicine | 01039083A | IN |
N | 207QA0505X | Family Doctor - Adult Medicine | 4301028134 | MI |
NPI | 1316966948 |
---|---|
Provider Name | Dr. Paul Joseph Brownson |
First Address | Zionsville, IN 46077-1165 |
Second Address | Zionsville, IN 46077-1165 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/07/2006 |
Last Update Date | 08/07/2007 |