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Search › Minnesota › 363L00000X

Richard Mastenbrook, CNP

NPI 1619386083 · on the registry since 2014 · sole proprietor

Practice

Address
11725 Stinson Ave
Chisago City, MN 55013
Phone
(651) 257-8850
Fax
(651) 257-8852
Organisation at this address
Fairview Clinics
Total Eye Care Llc
Fairview Pharmacy Services Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
16

Registry record

Primary taxonomy
363L00000X
363L00000X
Licence states on file
MN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-08-11

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