Individual
BRIAN TRAEGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
6300 WEDGWOOD RD N, MAPLE GROVE, MN 55311-3647
(763) 551-1215
Mailing address
6300 WEDGWOOD RD N, MAPLE GROVE, MN 55311-3647
(763) 551-1215
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
12946
MN
Other
Enumeration date
01/24/2019
Last updated
10/06/2022
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