Individual
KRISTIN BROBACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP, C
Contact information
Practice address
10705 TOWN SQUARE DR NE #100, BLAINE, MN 55449
(763) 236-5400
Mailing address
10705 TOWN SQUARE DR NE STE 100, BLAINE, MN 55449-8185
(163) 236-5400
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5976
MN
Other
Enumeration date
07/18/2018
Last updated
11/10/2020
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