Individual
DR. BRENT EUGENE GRIFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 S BRUCE ST, MARSHALL, MN 56258-1934
(507) 532-9661
Mailing address
7220 W 41ST ST, SIOUX FALLS, SD 57106-6028
(605) 332-2883
(605) 328-9620
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
38188
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1521690
MEDICAL ASSISTANCE
IA
05
—
640718800
—
MN
Enumeration date
12/13/2006
Last updated
10/01/2018
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