Dennis M. Brekke, Ltd. | |
2021 E Hennepin Ave Minneapolis MN 55413-1896 | |
(612) 991-1769 | |
(612) 395-5585 |
Full Name | Dennis M. Brekke, Ltd. |
---|---|
Speciality | Psychologist - Clinical |
Location | 2021 E Hennepin Ave, Minneapolis, Minnesota |
Authorized Official Name and Position | Dennis M. Brekke (PRESIDENT/OWNER) |
Authorized Official Contact | 6129911769 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Dennis M. Brekke, Ltd. 10331 108th Pl N Maple Grove MN 55369-2638 Ph: (612) 991-1769 | Dennis M. Brekke, Ltd. 2021 E Hennepin Ave Minneapolis MN 55413-1896 Ph: (612) 991-1769 |
NPI Number | 1831295278 |
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Provider Enumeration Date | 09/15/2006 |
Last Update Date | 12/19/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1831295278 | NPI | - | NPPES |
546347500 | Medicaid | MN | |
01992BR | Other | MN | BCBS PROVIDER NUMBER |
1H217BR | Other | MN | BCBS PROVIDER NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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