Individual
BRANDI HOPE GORDEN KLUKAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 863-4000
(763) 236-3026
Mailing address
PO BOX 43, MINNEAPOLIS, MN 55440-0043
(612) 262-1166
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
70356
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/26/2019
Last updated
08/20/2024
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