Individual
MELISSA EISENBRAUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6701 EVANSTAD DR N, MINNEAPOLIS, MN 55369
(763) 463-0000
Mailing address
16110 55TH AVE N, MINNEAPOLIS, MN 55446-3773
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
118827
MN
Other
Enumeration date
11/29/2011
Last updated
10/28/2024
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