Individual
BRYAN DELVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LP
Contact information
Practice address
420 E SARNIA ST, WINONA, MN 55987-6365
(507) 454-4341
(507) 453-6267
Mailing address
420 E SARNIA ST, WINONA, MN 55987-6365
(507) 454-4341
(507) 453-6267
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP4618
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
140014
UCARE
MN
05
—
215872800
—
MN
01
—
23D21DE
BCBS
MN
Enumeration date
11/10/2005
Last updated
11/28/2018
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