Individual
TRISHELLE BRUNGARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
415 17TH AVE N, HOPKINS, MN 55343-7224
(952) 931-1276
Mailing address
15973 ELMWOOD WAY, APPLE VALLEY, MN 55124-4250
(570) 939-7294
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15085
MN
Other
Enumeration date
11/22/2024
Last updated
11/27/2024
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