Individual
DR. WADE JAMES BRENNOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 E 28TH ST, MAIL ROUTE 11112, MINNEAPOLIS, MN 55407-3723
(612) 863-6590
(612) 863-5247
Mailing address
2829 UNIVERSITY AVE SE STE 730, MINNEAPOLIS, MN 55414-3279
(612) 439-1860
(612) 439-1860
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
55865
MN
Other
Enumeration date
07/20/2008
Last updated
06/21/2022
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