Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 2017020344 | MO |
N | 111NI0900X | Internist | 2017020344 | MO |
Y | 207RA0201X | Internist - Allergy & Immunology | 73010-20 | WI |
NPI | 1538699723 |
---|---|
Provider Name | Joshua Robert Brownell |
First Address | Madison, WI 53792-0001 |
Second Address | Madison, WI 53792-1003 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/06/2017 |
Last Update Date | 16/06/2020 |