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Individual

BRIAN ISHOLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
2645 VIKINGS CIR, EAGAN, MN 55121-1000
(952) 456-7600
(952) 456-7601
Mailing address
4200 DAHLBERG DR STE 300, GOLDEN VALLEY, MN 55422-4841
(952) 512-5600
(952) 512-5651

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12189
MN

Other

Enumeration date
05/27/2021
Last updated
03/05/2024
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