MS. Miranda Marie Brown

NPI #1073073151 in Brookfield, Wisconsin

Provider Information

NPI Number: 1073073151
Entity Type: Individual
Name: MS. Miranda Marie Brown
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Enumeration Date: Mar 23, 2019
Last Updated: Jul 6, 2020

Practice Location

Address: 17600 W CAPITOL DR
City: Brookfield
State: Wisconsin
ZIP Code: 53045-2003
Phone: (262) 786-4119

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary
Student in an Organized Health Care Education/Training Program	390200000X

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