Individual
BRENT MEDOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
640 JACKSON ST, SAINT PAUL, MN 55101-2502
(651) 254-4887
Mailing address
3600 FORBES AVENUE, FORBES TOWER PLAZA LEVEL SUITE 140, PITTSBURGH, PA 15213
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD472992
PA
207RC0000X
Cardiovascular Disease Physician
Primary
80176
MN
207RC0000X
Cardiovascular Disease Physician
MD472992
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/31/2018
Last updated
12/15/2025
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