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Individual

DR. BRIAN BURGOYNE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
11995 SINGLETREE LN STE 500, EDEN PRAIRIE, MN 55344-5349
(952) 595-1301
(612) 294-4903
Mailing address
11995 SINGLETREE LN STE 500, EDEN PRAIRIE, MN 55344-5349
(952) 595-1301
(612) 294-4903

Taxonomy

Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
MD441623
PA
2085R0202X
Diagnostic Radiology Physician
Primary
6698
NV
2085R0202X
Diagnostic Radiology Physician
MD00029456
WA
2085R0202X
Diagnostic Radiology Physician
MD441623
PA

Other

Enumeration date
07/11/2006
Last updated
07/08/2021
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