Michael R Brown, MD
Individual provider Active NPI Obstetrics & Gynecology Physician · Grand Forks, ND
NPI 1679670459 · NPPES record last updated Jan 22, 2019
Key facts
- NPI
- 1679670459
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- 4925 (ND)
- Practice address
- 1380 S Columbia Rd - Altru Family Medicine Center
Grand Forks, ND 58201-4059 - Phone
- (701) 795-2000
- Fax
- (701) 795-2260
- NPI assigned
- Sep 20, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 4925 | ND | Yes |
Addresses
Primary practice location
1380 S Columbia Rd - Altru Family Medicine Center
Grand Forks, ND 58201-4059
Mailing address
2401 Demers Ave
Grand Forks, ND 58201
Phone (701) 780-1891
Other providers in Grand Forks, ND
- Ivy Belle Brosseau
- Jonathan Randall Brower
- Colleen Rae Brown
- Leifka Brown
- Leon Pernell Brown
- Tiana Christina Brown
- Kyle James Brownfield
- Jake Brozek
- Tasha Bruley
- Alixandria D Brumitt
All providers in Grand Forks, ND · Obstetrics & Gynecology Physician in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 22, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.