Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BROOK PARENT
ActiveBROOK PARENT is a Contractor healthcare provider located in COON RAPIDS, Minnesota. NPI 1790210623 is currently active in the NPPES registry. Verify at CMS.
Contractor · COON RAPIDS, MN
Registration Details
- NPI Number
- 1790210623
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 28, 2017 (9.315351489805 yrs)
- Last Updated
- Apr 28, 2017
- License
-
BC400829 (MN)
Practice Information
- Address
-
3919 COON RAPIDS BLVD NWCOON RAPIDS, MN, 554332520Browse MN providers · Browse ZIP 55433
- Phone
- 7634215559
- Fax
- 7634219955
- Primary Specialty
-
Contractor
171W00000X
Other Contractor Providers in COON RAPIDS, MN
| Name | Credential | NPI |
|---|---|---|
| SAADA OUMER SHATO | — | 1316455546 |
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.