Doctor Name: | MR. ADAM CHRISTOPHER BRANDL |
NPI Number: | 1033342522 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | FNP-BC |
License Number: | R 160388-8 |
Business Practice Address: | 2200 Nw 26th St Owatonna, MN - 550605503 |
Business Phone Number: | 5074445041 |
Business Fax Number: | |
Mailing Address: | 4867 Opal Ln Nw, ROCHESTER |
State: | MN |
Postal Code: | 559016544 |
Phone Number: | 5072882400 |
Fax Number: | |
NPI Enumeration Date: | 08/31/2009 |
NPI Last Update Date: | 08/31/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | R 160388-8 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |