Individual
BRENT RISSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
15650 CEDAR AVE, APPLE VALLEY, MN 55124-7283
(952) 997-9904
Mailing address
15650 CEDAR AVE SOUTH, APPLE VALLEY, MN 55124-7283
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
06/19/2018
Last updated
06/19/2018
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