Individual
DR. PATRICK JOHN BROD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
927 CHURCHILL ST W, STILLWATER, MN 55082-6605
(651) 439-5330
(651) 430-4528
Mailing address
1500 CURVE CREST BLVD W, STILLWATER, MN 55082-6040
(651) 439-1234
(651) 439-1547
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
46674
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34293400
—
WI
05
—
916470700
—
MN
Enumeration date
07/20/2005
Last updated
01/06/2011
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