Individual
JUSTIN BREWSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
901 9TH ST N, VIRGINIA, MN 55792-2325
(218) 741-3340
Mailing address
901 9TH ST N, VIRGINIA, MN 55792-2325
(218) 741-3340
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
14217
MN
Other
Enumeration date
06/10/2022
Last updated
10/06/2022
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