Individual
DR. BRENT NIELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
720 4TH AVE S, SAINT CLOUD, MN 56301-4442
(320) 308-3191
(320) 308-3192
Mailing address
720 4TH AVE S, SAINT CLOUD, MN 56301-4442
(320) 308-3191
(320) 308-3192
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
42993
MN
207R00000X
Internal Medicine Physician
42993
MN
Other
Enumeration date
03/26/2007
Last updated
10/29/2020
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