Provider Demographics
NPI:1376530568
Name:BROWER, MARK F (DO)
Entity Type:Individual
Prefix:MR
First Name:MARK
Middle Name:F
Last Name:BROWER
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:1311 S LINCOLN ST
Mailing Address - Street 2:
Mailing Address - City:ELKHORN
Mailing Address - State:WI
Mailing Address - Zip Code:53121-4375
Mailing Address - Country:US
Mailing Address - Phone:262-723-4600
Mailing Address - Fax:262-723-4710
Practice Address - Street 1:1311 S LINCOLN ST
Practice Address - Street 2:
Practice Address - City:ELKHORN
Practice Address - State:WI
Practice Address - Zip Code:53121-4375
Practice Address - Country:US
Practice Address - Phone:262-723-4600
Practice Address - Fax:262-947-4996
Is Sole Proprietor?:No
Enumeration Date:2005-10-03
Last Update Date:2023-08-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WI24821207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI30025700Medicaid
WI30025700Medicaid
WI65155Medicare ID - Type Unspecified