Individual
DONNA M BREMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17435 ALVEY TRL, FARIBAULT, MN 55021-8918
(507) 334-8973
Mailing address
17435 ALVEY TRL, FARIBAULT, MN 55021-8918
(507) 334-8973
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
NONE REQUIRED
MN
Other
Enumeration date
02/20/2007
Last updated
07/08/2007
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