Individual
DR. BROOKE ALEXANDRA KUTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1414 MARYLAND AVE E, SAINT PAUL, MN 55106-2824
(651) 772-3461
Mailing address
10689 SONOMA RDG, EDEN PRAIRIE, MN 55347-1169
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
68573
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/14/2018
Last updated
08/03/2022
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