Individual
BRIAN IP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6405 FRANCE AVE S, SUITE W200, EDINA, MN 55435-2163
(952) 924-9005
(952) 924-0330
Mailing address
6405 FRANCE AVE S, SUITE W200, EDINA, MN 55435-2163
(952) 924-9005
(952) 924-0330
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
41931
MN
Other
Enumeration date
12/28/2005
Last updated
05/22/2012
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