Henjum, Brian A

Henjum, Brian A is an individual health care provider with primary practice located at 13560 Wayzata Blvd , Minnetonka MN 55305-1850. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Henjum, Brian A can be contacted via phone (763) 257-8100.

Contact Information

Primary practice address
13560 Wayzata Blvd Minnetonka MN 55305-1850
Phone: (763) 257-8100
Fax: (763) 257-8140
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 26247 Minnesota

Profile Details

NPI number 1366441362
LBN Legal business name Henjum, Brian A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2005
Last updated Dec 31st, 2008 - about 16 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 1366441362 NPPES
Minnesota MEDICAID 125767600
Minnesota Other 26247

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