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Carolyn L Brown
General Practice Physician in Blaine, Minnesota
NPI 1699908384

Carolyn L Brown is a General Practice Physician based in Blaine, MN. Carolyn L Brown practices in Blaine, MN. The NPI Number for Carolyn L Brown is 1699908384 and holds a License No. 1400 (Minnesota).

The current practice location address for Carolyn L Brown is 12203 Aberdeen St Ne, Blaine, MN and can be reached out via phone at 763-639-3595.

Location: 12203 Aberdeen St Ne, Blaine, MN, 55449-5174
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699908384
Provider Name
Carolyn L Brown
Credential
Provider Entity Type
Individual
Gender
Female
Address
12203 Aberdeen St Ne, Blaine, MN, 55449-5174
Phone Number
763-639-3595
Fax Number
Provider Enumeration Date
08/27/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
12203 Aberdeen St Ne
City
Blaine
State
Minnesota
Zip
55449-5174
Phone Number
763-639-3595
Fax Number
person
Provider Business Mailing Address Details
Address
12203 Aberdeen St Ne
City
Blaine
State
Minnesota
Zip
55449-5174
Phone Number
763-639-3595
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
1400 (Minnesota)
Definition
Definition to come...
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