Individual
BROOKE HABISCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5320 W 23RD ST, SAINT LOUIS PARK, MN 55416
(952) 345-8770
Mailing address
5320 W 23RD ST, SAINT LOUIS PARK, MN 55416
Taxonomy
Speciality
Code
Description
License number
State
224Y00000X
Clinical Exercise Physiologist
—
—
363LA2100X
Acute Care Nurse Practitioner
Primary
6118
MN
Other
Enumeration date
12/17/2013
Last updated
06/26/2023
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