Individual
TARA BRINK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
606 3RD AVE W, ALEXANDRIA, MN 56308-1325
(320) 759-1764
Mailing address
9800 45TH AVE N APT 301, PLYMOUTH, MN 55442-2662
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
9444
MN
Other
Enumeration date
02/29/2016
Last updated
02/29/2016
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