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Individual

DR. BROOKE CUNNINGHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD, PHD

Contact information

Practice address
2001 BLOOMINGTON AVE, MINNEAPOLIS, MN 55404-3074
(612) 638-0700
Mailing address
717 DELAWARE ST SE RM 420, MMC 381, MINNEAPOLIS, MN 55414-2959
(612) 624-7244
(612) 624-1466

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
58542
MN
207R00000X
Internal Medicine Physician
D0070657
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
037007000
MD
Enumeration date
04/30/2008
Last updated
12/01/2014
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