Brandt, Todd David

Brandt, Todd David is an individual health care provider with primary practice located at 6025 Lake Rd Suite 200, Woodbury MN 55125-1712. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Brandt, Todd David can be contacted via phone (651) 999-6800.

Contact Information

Primary practice address
6025 Lake Rd Suite 200 Woodbury MN 55125-1712
Phone: (651) 999-6800
Fax: (651) 999-6830
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 42484 Minnesota

Profile Details

NPI number 1417944604
LBN Legal business name Brandt, Todd David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2005
Last updated Sep 10th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417944604 NPPES
Minnesota Other 340018335 RR MEDICARE
Minnesota MEDICAID 388643300 RR MEDICARE

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