Individual
BRENT THOMAS WARNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
710 COMMERCE DR STE 200, WOODBURY, MN 55125-4925
(651) 968-5042
(651) 968-5904
Mailing address
1185 TOWN CENTRE DR STE 100, EAGAN, MN 55123-1188
(651) 968-5042
(651) 968-5904
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
53280
CO
207X00000X
Orthopaedic Surgery Physician
Primary
59611
MN
390200000X
Student in an Organized Health Care Education/Training Program
156695
NC
Other
Enumeration date
05/25/2009
Last updated
09/14/2015
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