Individual
BROWNELL MACK III
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
1313 PENN AVE N, MINNEAPOLIS, MN 55411-3047
(612) 302-4600
Mailing address
1313 PENN AVE N, MINNEAPOLIS, MN 55411-3047
(612) 302-4600
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP4548
MN
2084P0800X
Psychiatry Physician
LP4548
MN
Other
Enumeration date
12/27/2005
Last updated
09/11/2025
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