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Individual

BRIAN GENIESSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3300 OAKDALE AVE N, ROBBINSDALE, MN 55422-2926
(763) 520-5200
Mailing address
202 N CEDAR AVE STE 1, OWATONNA, MN 55060-2306

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2855
MN

Other

Enumeration date
07/14/2023
Last updated
07/14/2023
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