Search › Minnesota › 101YA0400X
Timothy Brustad, L.A.D.C
NPI 1700953353 · on the registry since 2006 · sole proprietor
Practice
- Address
- 626 Continental Dr
New Brighton, MN 55112 - Phone
- (651) 341-0618
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- 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