Mark Eugene Brewer DC

NPI 1003812991 - Chiropractor - 111N00000X

NPI Details
NPI 1003812991
Gender Male
Enumeration Date 06/24/2005
Last Updated 04/27/2011
Entity Type Individual
Active Over 11 years ago
Practice Location
3800 SHORELINE DR
WAYZATA MN, 55391-9785, US
Phone (952) 471-2555
Fax (952) 471-2556
Business Location
3800 SHORELINE DR
WAYZATA MN, 55391-9785, US
Phone (952) 471-2555
Fax (952) 471-2556
Toxanomy
Taxonomy Code 111N00000X
License State Minnesota
License Number 2026
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According to our database, Dr. Mark Eugene Brewer DC NPI is 1003812991, taxonomy code is 111N00000X and license number is 2026, license state is located at Minnesota. Mark Eugene Brewer DC physically located at 3800 Shoreline Dr, Wayzata MN, 55391-9785. NPI Number Mark Eugene Brewer DC has the Individual type.

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1003812991 NPI number is provided on an as is basis without warranty of any kind. 1003812991 is maintained by the National Plan & Provider Enumeration System. The contents of Mark Eugene Brewer DC are for informational purposes only.