Individual
DR. ISAAC BRIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
5536 CHICAGO AVE, MINNEAPOLIS, MN 55417-2446
(612) 827-0657
Mailing address
2800 67TH LN N, BROOKLYN CENTER, MN 55430-1711
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6469
MN
Other
Enumeration date
05/02/2018
Last updated
05/02/2018
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