Individual
MS. BRENDA GAIL GREWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L AC
Contact information
Practice address
2650 LOUISA AVE, MOUNDS VIEW, MN 55112
(612) 850-1305
(763) 780-6207
Mailing address
2650 LOUISA AVE, MOUNDS VIEW, MN 55112
(612) 850-1305
(763) 780-6207
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
1204
MN
Other
Enumeration date
10/19/2006
Last updated
04/20/2011
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