Individual
ABBY BRUSTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2500 ALHAMBRA AVE, MARTINEZ, CA 94553-3156
(952) 370-5000
Mailing address
6485 GAME FARM RD E, MOUND, MN 55364-8376
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
1265220776
CA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/26/2025
Last updated
06/23/2025
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