Individual
MARY SARAH BRANDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
MAYO CLINIC HEALTH SYSTEM SOUTHWEST MINNESOTA REGION, 1025 MARSH ST, MANKATO, MN 56001
(507) 625-4031
Mailing address
MCHS MN PROVIDER ENROLLMENT, 200 1ST ST SW, ROCHESTER, MN 55905-3114
(507) 625-4031
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
56691-20
WI
207P00000X
Emergency Medicine Physician
Primary
76168
MN
Other
Enumeration date
04/23/2010
Last updated
08/23/2024
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