Individual
DR. BRIAN DAVID KANTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
150 EMERSON AVE E, ALLINA WEST ST. PAUL, WEST ST PAUL, MN 55118-2535
(612) 467-1100
Mailing address
2139 ROBLYN AVE, SAINT PAUL, MN 55104-5027
(651) 917-8708
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
23922
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
790016300
—
MN
Enumeration date
10/31/2006
Last updated
01/23/2013
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