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Individual

BRANDON WALKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2004 FORD PARKWAY, MS 35300A, ST. PAUL, MN 55116-1931
(651) 265-0000
(651) 265-0001
Mailing address
8170 33RD AVE S - PO BOX 1309, MS 21110Q, MINNEAPOLIS, MN 55425-4516
(651) 265-0000
(651) 265-0001

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
11262
MN
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
07/30/2010
Last updated
01/27/2015
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