| Doctor Name: | DR. BRIAN DAVID KANTER |
| NPI Number: | 1285710202 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 23922 |
| Business Practice Address: | 150 Emerson Ave E Allina West St. Paul West St Paul, MN - 551182535 |
| Business Phone Number: | 6124671100 |
| Business Fax Number: | |
| Mailing Address: | 2139 Roblyn Ave, SAINT PAUL |
| State: | MN |
| Postal Code: | 551045027 |
| Phone Number: | 6519178708 |
| Fax Number: | |
| NPI Enumeration Date: | 10/31/2006 |
| NPI Last Update Date: | 01/23/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 171000000X |
| License Number: | 23922 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Military Health Care Provider |
| Taxonomy Specialization: | |
| Taxonomy Definition: | Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |