Individual
DR. VIVIAN LILLY WIREKO-BROBBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1540 LAKE ST S, FOREST LAKE, MN 55025-2628
(651) 464-7100
(651) 241-1515
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-5000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0101245308
VA
207Q00000X
Family Medicine Physician
139432
DC
207Q00000X
Family Medicine Physician
Primary
57354
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1033393178
—
MN
Enumeration date
12/26/2007
Last updated
11/10/2020
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