MEDICARE: DR. DENNIS GREGORY BROWN M.D., J.D.

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	225400000X	Rehabilitation Practitioner	22977	WI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1811034457
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DENNIS GREGORY BROWN M.D., J.D.

Provider Business Mailing Address
First Line	:	2901 W KINNICKINNIC RIVER PKWY STE 303
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53215-3660
Country	:	US
Telephone Number	:	414-671-1596
Fax Number	:	414-671-0536

Provider Business Practice Location Address
First Line	:	2901 W KINNICKINNIC RIVER PKWY
Second Line	:	SUITE 317
City	:	MILWAUKEE
State	:	WI
Zip	:	53215-3677
Country	:	US
Telephone Number	:	414-671-1596
Fax Number	:	414-671-0536

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/31/2007
Last Update Date	:	04/16/2020

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Directions to “ DR. DENNIS GREGORY BROWN M.D., J.D.” Practice Location

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