Individual
BREANNA MARIE COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3850 PARK NICOLLET BLVD, ST LOUIS PARK, MN 55416
(952) 883-1000
Mailing address
3850 PARK NICOLLET BLVD, ST LOUIS PARK, MN 55416-2527
(952) 883-1000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11763
MN
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
12/11/2014
Last updated
09/04/2019
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