Individual
BRENNAN JOSEPH SHUTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3300 OAKDALE AVE N, ROBBINSDALE, MN 55422
(763) 520-5200
(763) 581-4771
Mailing address
3300 OAKDALE AVE N, ROBBINSDALE, MN 55422-2926
(763) 520-5200
(763) 581-4771
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
02004294A
IN
207R00000X
Internal Medicine Physician
20A14186
CA
207R00000X
Internal Medicine Physician
Primary
65224
MN
Other
Enumeration date
03/13/2012
Last updated
05/13/2019
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