Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRENT D. PLACKNER, PA-C
ActivePhysician Assistant · BAYPORT, MN
Registration Details
- NPI Number
- 1487647996
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 30, 2005 (20.686272463161 yrs)
- Last Updated
- Jan 19, 2018
- Licenses
-
865-23 (WI)11906 (MN)
Practice Information
- Address
-
970 PICKETT ST NBAYPORT, MN, 550031489Browse MN providers · Browse ZIP 55003
- Phone
- 6517795713
- Fax
- 6517471621
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.