Individual
BRIAN RAUTENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2369 TART LAKE RD, LINO LAKES, MN 55038-7730
(612) 482-5900
Mailing address
2369 TART LAKE RD, LINO LAKES, MN 55038-7730
(612) 482-5900
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
11/29/2023
Last updated
01/04/2024
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