MEDICARE: VILLAGE OF BROWN DEER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251K00000X	Public Health or Welfare Agency	7726230	WI

General Provider Information

NPI Number	:	1588868202
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VILLAGE OF BROWN DEER

Provider Business Mailing Address
First Line	:	5901 N MILWAUKEE RIVER PKWY
Second Line	:
City	:	GLENDALE
State	:	WI
Zip	:	53209-3815
Country	:	US
Telephone Number	:	414-371-2980
Fax Number	:

Provider Business Practice Location Address
First Line	:	5901 N MILWAUKEE RIVER PKWY
Second Line	:
City	:	GLENDALE
State	:	WI
Zip	:	53209-3815
Country	:	US
Telephone Number	:	414-371-2980
Fax Number	:	414-371-2988

Authorized Official
Title or Position	:	HEALTH OFFICER
Name	:	REBECCA ROWLAND
Credential	:	MPH, MBA
Telephone Number	:	414-371-2981

Provider Enumeration Date	:	06/14/2007
Last Update Date	:	03/04/2025

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