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Gwen Brutlag, M.S., L.P

NPI 1275656431 · on the registry since 2007 · sole proprietor

Practice

Address
220 W Washington Ave
Wells Fargo Bank Building, Suite 204
Fergus Falls, MN 56537
Phone
(218) 739-8761
Fax
(218) 739-8581

Registry record

Primary taxonomy
103T00000X
103T00000X
Licence states on file
MN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-07-08

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