Individual
SARAH JEAN BRONNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9055 SPRINGBROOK DR NW, COON RAPIDS, MN 55433-5841
(763) 780-9155
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
57182
MN
2083X0100X
Occupational Medicine Physician
Primary
57182
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20408
RESIDENT PERMIT
MN
01
—
57182
MEDICAL LICENSE NUMBER
MN
Enumeration date
04/30/2008
Last updated
01/22/2019
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