Individual
BRIAN BRISTOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4300 MARKET PTE DR STE 100, BLOOMINGTON, MN 55435-5435
(952) 767-4574
Mailing address
981150 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-1150
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
9361
NE
Other
Enumeration date
06/15/2022
Last updated
05/15/2025
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