Individual
MARY ANN BRANDENBURG MERIDETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
800 E 28TH ST, MINNEAPOLIS, MN 55407-3723
(612) 871-7639
(612) 872-0302
Mailing address
2828 CHICAGO AVE, STE 300, MINNEAPOLIS, MN 55407-1544
(612) 871-7639
(612) 872-0302
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
25610
MN
Other
Enumeration date
09/24/2009
Last updated
09/24/2009
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