Individual
MRS. MEGHAN ELIZABETH BRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
1285 NININGER RD, HASTINGS, MN 55033-1086
(651) 480-4200
(651) 480-4306
Mailing address
PO BOX 43, MINNEAPOLIS, MN 55440-0043
(612) 262-1166
(612) 262-9035
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
4354
WI
363AM0700X
Medical Physician Assistant
Primary
—
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003013137
—
WI
05
—
757967000
—
MN
Enumeration date
07/02/2007
Last updated
01/04/2024
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