Provider Demographics
NPI:1558393447
Name:BROWN, DONNA J (DC)
Entity Type:Individual
Prefix:DR
First Name:DONNA
Middle Name:J
Last Name:BROWN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:MRS
Other - First Name:DONNA
Other - Middle Name:J
Other - Last Name:VOLDAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:820 GENEVA PKWY N STE 105
Mailing Address - Street 2:
Mailing Address - City:LAKE GENEVA
Mailing Address - State:WI
Mailing Address - Zip Code:53147-4562
Mailing Address - Country:US
Mailing Address - Phone:262-248-6700
Mailing Address - Fax:
Practice Address - Street 1:820 GENEVA PKWY N STE 105
Practice Address - Street 2:
Practice Address - City:LAKE GENEVA
Practice Address - State:WI
Practice Address - Zip Code:53147-4562
Practice Address - Country:US
Practice Address - Phone:262-248-6700
Practice Address - Fax:262-248-6764
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-07
Last Update Date:2023-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI2243-012111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI450521458OtherTAX ID
WIU44923Medicare UPIN
WI000135563Medicare ID - Type Unspecified