Individual
BROOK BUTZER WALDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2450 RIVERSIDE AVE, F282/2A WEST, MINNEAPOLIS, MN 55454-1450
(612) 273-9824
(612) 273-9779
Mailing address
2450 RIVERSIDE AVE, F282/2A WEST, MINNEAPOLIS, MN 55454-1450
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
64458
MN
Other
Enumeration date
04/27/2017
Last updated
06/09/2021
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