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Individual

DR. ROBERT M BRANDJORD

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
625 E NICOLLET BLVD, STE 205, BURNSVILLE, MN 55337-6734
(952) 435-0310
(952) 435-0311
Mailing address
625 E NICOLLET BLVD, STE 205, BURNSVILLE, MN 55337-6734
(952) 435-0310
(952) 435-0311

Taxonomy

Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
7526
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
44B04BR
BCBS
MN
01
86000126
MEDICA
Enumeration date
12/09/2005
Last updated
07/08/2007
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