Individual
MELISSA ELIZABETH BRUNSVOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
516 DELAWARE STREET SE, CLINIC 1E, UMP SURGERY CLINIC, MINNEAPOLIS, MN 55455-0356
(612) 624-5915
(612) 624-1473
Mailing address
420 DELAWARE ST SE, MMC 195, MINNEAPOLIS, MN 55455-0341
(612) 626-1999
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
54056
MN
2086S0102X
Surgical Critical Care Physician
Primary
4301077643
MI
Other
Enumeration date
04/20/2007
Last updated
07/11/2016
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