Individual
BRIAN WASSERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 E 3RD ST, DULUTH, MN 55805-1951
(218) 786-8364
Mailing address
400 E 3RD ST, DULUTH, MN 55805-1951
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
67277
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/02/2014
Last updated
09/03/2020
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