Individual
BRIAN N. KROGSTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.C.
Contact information
Practice address
1901 CONNECTICUT AVE. S, SARTELL, MN 56377
(320) 259-4100
(320) 259-8044
Mailing address
1901 CONNECTICUT AVE. S, SARTELL, MN 56377
(320) 259-4100
(320) 259-8044
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10049
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
297165800
—
MN
Enumeration date
07/02/2006
Last updated
06/04/2020
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