Individual
DR. ERIK CHRISTOPHER BRENDTRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
850 COUNTY ROAD E E, VADNAIS HEIGHTS, MN 55127-7117
(651) 486-7303
(651) 486-7702
Mailing address
850 COUNTY ROAD E E, VADNAIS HEIGHTS, MN 55127-7117
(651) 486-7303
(651) 486-7702
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2508
MN
152W00000X
Optometrist
485
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22-01067
MEDICA HEALTH PLANS
MN
01
—
4C199BR
BLUE CROSS& BLUE SHIELD
MN
Enumeration date
08/30/2006
Last updated
05/22/2008
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