Individual
DR. ANNE K BRUTLAG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
15111 TWELVE OAKS CENTER DR, MINNETONKA, MN 55305-5201
(952) 993-4500
Mailing address
6465 WAYZATA BLVD, STE 315, ST LOUIS PARK, MN 55426-1728
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
28909
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
663875900
—
MN
Enumeration date
12/29/2005
Last updated
06/27/2012
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