Individual
BRIAN SCOTT ALEN PAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4 ENTERPRISE AVE NE STE 1, ISANTI, MN 55040-6814
(763) 552-6161
Mailing address
32904 FLAMINGO ST NW, CAMBRIDGE, MN 55008-7672
(763) 288-6750
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
07/01/2024
Last updated
07/01/2024
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