Individual
DR. KATHLEEN DWYER BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
UMPHYSICIANS BROADWAY FAMILY MEDICINE, 1020 WEST BROADWAY, MINNEAPOLIS, MN 55411
(612) 302-8200
(612) 302-8275
Mailing address
UMPHYSICIANS BROADWAY FAMILY MEDICINE, 1020 WEST BROADWAY, MINNEAPOLIS, MN 55411
(612) 302-8200
(612) 302-8275
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
26201
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01-12519
MEDICA PRIMARY
MN
01
—
01-20983
MEDICA CHOICE
MN
01
—
01-21776
MEDICA CHOICE&PRIM BFM
MN
05
—
0144245
—
MT
01
—
0549006
PREFERRED ONE
MN
05
—
0592204
—
IA
01
—
109315
UCARE
MN
01
—
21592
ARAZ
MN
01
—
251P1BR
BCBS
MN
05
—
34065600
—
WI
01
—
511K0BR
BCBS BFM
MN
01
—
A070
CHAMPUS
MN
01
—
HP31006
HEALTHPARTNERS
MN
Enumeration date
06/23/2006
Last updated
07/09/2007
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