Provider Demographics
NPI:1134411283
Name:BROWN, CALLA RUTH (MD)
Entity type:Individual
Prefix:DR
First Name:CALLA
Middle Name:RUTH
Last Name:BROWN
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Gender:F
Credentials:MD
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Mailing Address - Street 1:401 EAST RIVER PARKWAY
Mailing Address - Street 2:1ST FLOOR, SUITE 131 VCRC,
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55455
Mailing Address - Country:US
Mailing Address - Phone:317-508-7095
Mailing Address - Fax:612-625-3238
Practice Address - Street 1:500 HARVARD ST SE
Practice Address - Street 2:UNIVERSITY OF MINNESOTA MEDICAL CENTER
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55455
Practice Address - Country:US
Practice Address - Phone:612-624-3113
Practice Address - Fax:612-626-6601
Is Sole Proprietor?:No
Enumeration Date:2011-05-09
Last Update Date:2015-07-17
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Provider Licenses
StateLicense IDTaxonomies
MN59089208000000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine