Individual
KATHERINE E BRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
401 PHALEN BLVD, SAINT PAUL, MN 55130-5302
(651) 254-7580
Mailing address
401 PHALEN BLVD, SAINT PAUL, MN 55130-5302
(651) 254-7580
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
105568
MN
207N00000X
Dermatology Physician
Primary
54364
MN
Other
Enumeration date
04/20/2010
Last updated
07/23/2015
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