Individual
DEAN TEBRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1455 SAINT FRANCIS AVE, SHAKOPEE, MN 55379-3374
(952) 403-3000
Mailing address
2475 CAMBRIDGE WAY, SHAKOPEE, MN 55379-9474
(952) 496-9959
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R1068944
MN
Other
Enumeration date
01/11/2006
Last updated
07/08/2007
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