Individual
MEGAN BROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
333 SMITH AVE N, SAINT PAUL, MN 55102
(612) 863-6590
Mailing address
2829 UNIVERSITY AVE SE, SUITE 730, MINNEAPOLIS, MN 55414
(612) 439-1867
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
11990
MN
Other
Enumeration date
11/10/2015
Last updated
06/30/2022
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