Most Relevant Information
Provider Data
| NPI Number: | 1003002437 |
| Provider Name: | SALLY ROSS BROWN |
| Entity Type: | Individual |
| Taxonomy Code: | 332B00000X |
| Specialty: | Durable Medical Equipment & Medical Supplies |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/19/2007 |
| Last Updated: | 09/19/2007 |
Provider Practice Location
15449C FOREST BLVD N
HUGO
MN
550387329
Practice Location Phone/Fax
| Phone: | 6514261548 |
| Fax: | 6516539444 |
Provider Mailing Location
15449C FOREST BLVD N
HUGO
MN
550387329
Provider Mailing Phone/Fax
| Phone: | 6514261548 |
| Fax: | 6516539444 |