Individual
DR. IVAN LOUIS BRODSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4225 GOLDEN VALLEY RD, GOLDEN VALLEY, MN 55422-4215
(763) 588-0661
(763) 302-4345
Mailing address
4225 GOLDEN VALLEY RD, GOLDEN VALLEY, MN 55422-4215
(763) 588-0661
(763) 287-2310
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
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