Individual
MR. BROCK ALLEN EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
901 14TH ST NW, ROCHESTER, MN 55901-2513
(507) 358-7768
Mailing address
901 14TH ST NW, ROCHESTER, MN 55901-2513
(507) 358-7768
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R163713-9
MN
Other
Enumeration date
02/22/2009
Last updated
02/22/2009
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