| Craig J Brandenburg Dds Ltd | |
|
5201 Bloomington Ave Minneapolis MN 55417-1819 | |
| (612) 721-6233 | |
| (612) 721-5723 |
| Full Name | Craig J Brandenburg Dds Ltd |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5201 Bloomington Ave, Minneapolis, Minnesota |
| Authorized Official Name and Position | Craig J Brandenburg (OWNER) |
| Authorized Official Contact | 6127216233 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Craig J Brandenburg Dds Ltd 5201 Bloomington Ave Minneapolis MN 55417-1819 Ph: (612) 721-6233 | Craig J Brandenburg Dds Ltd 5201 Bloomington Ave Minneapolis MN 55417-1819 Ph: (612) 721-6233 |
| NPI Number | 1013070291 |
|---|---|
| Provider Enumeration Date | 12/18/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013070291 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D9418 (Minnesota) | Primary |
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