Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RH0002X | Hospice and Palliative Medicine | 1154737682 | OK |
NPI | 1154737682 |
---|---|
Provider Name | Madison Brinlee |
First Address | Rochester, MN 55905-0001 |
Second Address | Oklahoma City, OK 73104 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/07/2014 |
Last Update Date | 02/08/2018 |