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Brittany Blackwelder, HIS
NPI 1174194096 · on the registry since 2021
Practice
- Address
- 16354 County Road 30
Maple Grove, MN 55311 - Phone
- (763) 315-6571
- Fax
- (763) 315-6687
Registry record
- Primary taxonomy
- 237700000X
237700000X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota