Individual
DR. ANDREW K BREVIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
800 MEDICAL CENTER DR, FAIRMONT, MN 56031-4575
(507) 238-8581
Mailing address
2700 23RD ST, SPIRIT LAKE, IA 51360-1158
(712) 336-2410
(712) 336-3241
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
3365
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0234062
—
IA
Enumeration date
01/25/2006
Last updated
02/10/2021
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