Individual
DR. ELLIOTT DALE BRUBAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1270 PROMENADE PL STE 120, EAGAN, MN 55121-2537
(651) 452-8442
Mailing address
16224 HOMINY PATH, LAKEVILLE, MN 55044-3817
(612) 240-3802
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2514
MN
Other
Enumeration date
09/06/2006
Last updated
08/14/2019
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