Individual
DR. IVAN LOUIS BRODSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
18799
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02062BR
BCBS OF MN
MN
01
—
0265003
PREFERRED ONE
MN
01
—
0500353
MEDICA
MN
05
—
0507376
—
IA
01
—
100279C029
UCARE
MN
01
—
130004298
RAILROAD MEDICARE
MN
05
—
183070800
—
MN
01
—
22782
AMERICA'S PPO
MN
05
—
30204400
—
WI
01
—
HP12967
HEALTHPARTNERS
MN
Enumeration date
05/24/2006
Last updated
03/05/2019
Update your record
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