Individual
RICKY BROCKBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
931 MADISON AVE STE 203, MANKATO, MN 56001-6995
(507) 344-8900
(866) 920-6333
Mailing address
931 MADISON AVE STE 203, MANKATO, MN 56001-6995
(507) 344-8900
Taxonomy
Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
Primary
382785
MN
Other
Enumeration date
03/07/2018
Last updated
09/17/2021
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