Provider Demographics
NPI:1528007630
Name:BROWNING, DUANE C (MD)
Entity Type:Individual
Prefix:
First Name:DUANE
Middle Name:C
Last Name:BROWNING
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1720 HIGHWAY 59 S
Mailing Address - Street 2:
Mailing Address - City:THIEF RIVER FALLS
Mailing Address - State:MN
Mailing Address - Zip Code:56701-4331
Mailing Address - Country:US
Mailing Address - Phone:218-681-4747
Mailing Address - Fax:218-683-2595
Practice Address - Street 1:1720 HIGHWAY 59 S
Practice Address - Street 2:
Practice Address - City:THIEF RIVER FALLS
Practice Address - State:MN
Practice Address - Zip Code:56701-4331
Practice Address - Country:US
Practice Address - Phone:218-681-4747
Practice Address - Fax:218-683-2595
Is Sole Proprietor?:No
Enumeration Date:2006-06-05
Last Update Date:2012-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN27818207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FM108033OtherUCARE #
MN0105998OtherMEDICA #
MNHP19519OtherHEALTHPARTNERS #
MNP00461168OtherMEDICARE RAILROAD
MN568219OtherAMERICA'S PPO/ARAZ #
MNDA9021015696OtherPREFERRED ONE #
MNMN100009OtherLHS/BANNERHEALTH #
MN10233OtherNDBS #
MN080025715OtherRR MEDICARE #
MN43595300Medicaid
MN91180BROtherMNBS #
MN16692Medicaid
MN089004791Medicare ID - Type UnspecifiedMN MEDICARE #
MNMN100009OtherLHS/BANNERHEALTH #
MN10233OtherNDBS #