Individual
KAITLYN BRUNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
701 PARK AVE, MINNEAPOLIS, MN 55415
(612) 873-2510
Mailing address
3143 ATWATER ST, MINNETONKA, MN 55305-4531
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
03/14/2018
Last updated
03/14/2018
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