Individual
BRANDON SIMMONS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
O.T.R.
Contact information
Practice address
326 13TH ST SW, OWATONNA, MN 55060-3802
(507) 446-1033
Mailing address
326 13TH ST SW, OWATONNA, MN 55060-3802
(507) 446-1033
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
102310
MN
Other
Enumeration date
03/09/2006
Last updated
07/08/2007
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