Individual
BRIAN ERIC UNGLAUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ANP GNP
Contact information
Practice address
6545 FRANCE AVE S STE 210, EDINA, MN 55435-2281
(952) 928-2900
(952) 928-2944
Mailing address
2550 UNIVERSITY AVE W STE 110N, SAINT PAUL, MN 55114-2001
(651) 602-5335
(651) 665-9799
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R143562-9
MN
363LA2200X
Adult Health Nurse Practitioner
R 143562 9
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0407066
MEDICA HEALTH PLANS
—
01
—
1042810
PREFERRED ONE
—
01
—
132656
U CARE
—
01
—
2258979
ARAZ GROUP AMERICAS PPO
—
01
—
328604500
MEDICAL ASSISTANCE MA
—
01
—
387L4UN
BLUE CROSS BLUE SHIELD
—
01
—
495R2UN PL
BLUE CROSS BLUE SHIELD
—
01
—
HP49290
HEALTH PARTNERS
—
01
—
P00181148
RR MEDICARE
—
Enumeration date
11/07/2005
Last updated
01/09/2018
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