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Individual

DR. MICHAEL J BRICKNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2019 S 6TH ST, BRAINERD, MN 56401-4528
(218) 822-4242
(218) 822-3758
Mailing address
2019 S 6TH ST, BRAINERD, MN 56401-4528
(218) 822-4242
(218) 822-3758

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
103736
MN
2085R0202X
Diagnostic Radiology Physician
23701
NE
2085R0202X
Diagnostic Radiology Physician
Primary
51063
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P00649009
RAILROAD MEDICARE
MN
Enumeration date
05/10/2007
Last updated
03/14/2013
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