Individual
BRIAN TOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1575 BEAM AVE, MAPLEWOOD, MN 55109-1126
(920) 915-9034
Mailing address
5116 15TH AVE S, MINNEAPOLIS, MN 55417-1808
(920) 915-9034
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
65186
MN
Other
Enumeration date
03/26/2014
Last updated
05/12/2025
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