Individual
BRENDA JEAN DUNLAP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3800 PARK NICOLLET BLVD, PARK NICOLLET CLINIC MENTAL HEALTH DEPT 3RD FLOOR N., ST LOUIS PARK, MN 55416-2527
(952) 993-3307
Mailing address
2200 TAMARACK DR, LONG LAKE, MN 55356-9586
(763) 473-0033
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
47893
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
784692000
MHCP
MN
Enumeration date
09/28/2006
Last updated
07/08/2007
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