Individual
MARSHALL O BRENEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2800 CAMPUS DR STE 20, PLYMOUTH, MN 55441-2669
(763) 398-4400
Mailing address
2800 CAMPUS DR STE 10, MINNEAPOLIS, MN 55441-2669
(763) 398-6383
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15053
MN
Other
Enumeration date
04/26/2023
Last updated
08/15/2025
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