Individual
JEREMY BROOKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
2525 CHICAGO AVE, MINNEAPOLIS, MN 55404-4518
(612) 813-6000
Mailing address
1141 SEXTANT AVE W, ROSEVILLE, MN 55113-3242
(262) 442-1057
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
168151-30
WI
367500000X
Certified Registered Nurse Anesthetist
Primary
R212014-0
MN
Other
Enumeration date
08/03/2015
Last updated
09/25/2020
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