Provider Demographics
NPI:1104872324
Name:DROWN, INA (MD)
Entity type:Individual
Prefix:DR
First Name:INA
Middle Name:
Last Name:DROWN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1604 1ST ST S
Mailing Address - Street 2:
Mailing Address - City:WILLMAR
Mailing Address - State:MN
Mailing Address - Zip Code:56201-4243
Mailing Address - Country:US
Mailing Address - Phone:320-231-5039
Mailing Address - Fax:320-231-5067
Practice Address - Street 1:1604 1ST ST S
Practice Address - Street 2:
Practice Address - City:WILLMAR
Practice Address - State:MN
Practice Address - Zip Code:56201
Practice Address - Country:US
Practice Address - Phone:320-231-5039
Practice Address - Fax:320-231-5067
Is Sole Proprietor?:No
Enumeration Date:2006-05-26
Last Update Date:2023-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN43199207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN817970100Medicaid
MN0800341OtherMEDICA
MN91D45LUOtherBLUE CROSS & BLUE SHIELD
MN0800341OtherMEDICA
MN180000943Medicare ID - Type Unspecified