Organization
LAKES ADVANCED PAIN SPECIALISTS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRENT THOMAS KAPFER CRNA (CRNA)
(612) 382-4613
Entity
Organization
Contact information
Practice address
10513 STONEBRIDGE TRL N, STILLWATER, MN 55082-9569
(612) 382-4613
Mailing address
10513 STONEBRIDGE TRL N, STILLWATER, MN 55082-9569
(612) 382-4613
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R 135016-0
MN
Other
Enumeration date
07/09/2008
Last updated
12/04/2015
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