| Dr. Bruce E. Brandsness P.a. | |
|
2267 Louisiana Ave S St Louis Park MN 55426-2718 | |
| (952) 546-2564 | |
| Not Available |
| Full Name | Dr. Bruce E. Brandsness P.a. |
|---|---|
| Speciality | Dentist |
| Location | 2267 Louisiana Ave S, St Louis Park, Minnesota |
| Authorized Official Name and Position | Bruce Eric Brandsness (OWNER) |
| Authorized Official Contact | 9525462564 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Bruce E. Brandsness P.a. 2267 Louisiana Ave S St Louis Park MN 55426-2718 Ph: (952) 546-2564 | Dr. Bruce E. Brandsness P.a. 2267 Louisiana Ave S St Louis Park MN 55426-2718 Ph: (952) 546-2564 |
| NPI Number | 1477690279 |
|---|---|
| Provider Enumeration Date | 01/31/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477690279 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 10016 (Minnesota) | Primary |
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