Individual
DOUGLAS S BREW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1520 NORTHWAY COURT, CENTRACARE CLINIC HEARTLAND, ST CLOUD, MN 56303
(320) 251-1775
(320) 240-3131
Mailing address
1520 NORTHWAY COURT, CENTRACARE CLINIC HEARTLAND, ST CLOUD, MN 56303
(320) 251-1775
(320) 240-3131
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
39617
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101842
MEDICA HEALTH PLANS
—
01
—
080089973
RR MEDICARE
—
01
—
1013394
PREFERRED ONE
—
01
—
116610
U CARE
—
01
—
2114055
FIRST HEALTH PLAN
—
01
—
337513700
MEDICAL ASSISTANCE
—
01
—
620292
ARAZ GRP AMERICA'S PPO
—
01
—
86D72BR
BLUE CROSS BLUE SHIELD
—
01
—
HP22750
HEALTH PARTNERS
—
Enumeration date
11/04/2005
Last updated
11/22/2011
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