Individual
BRENT THOMAS KAPFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
257 W SAINT GEORGE AVE, GRANTSBURG, WI 54840-7827
(715) 463-7239
Mailing address
10513 STONEBRIDGE TRL N, STILLWATER, MN 55082-9569
(612) 382-4613
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4255
WI
367500000X
Certified Registered Nurse Anesthetist
R1350160
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
096H0KA
BLUE CROSS
MN
05
—
881413900
—
MN
Enumeration date
04/21/2006
Last updated
01/26/2022
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