Individual
DR. BRENT MICHAEL EGELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1400 N IH 35 STE 320, AUSTIN, TX 78701-1926
(512) 324-8320
(512) 324-8326
Mailing address
1400 N IH 35 STE 320, AUSTIN, TX 78701-1926
(512) 324-8320
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
105445
MN
207XS0106X
Orthopaedic Hand Surgery Physician
105445
MN
207XS0106X
Orthopaedic Hand Surgery Physician
54404
MN
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
Primary
P3315
TX
390200000X
Student in an Organized Health Care Education/Training Program
4301081432
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ENROLLED
—
IA
05
—
ENROLLED
—
MN
05
—
ENROLLED
—
WI
01
—
P01021688
RAIL ROAD - MEDICARE
MN
Enumeration date
04/06/2007
Last updated
08/07/2012
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