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1013986637
MARK H. BRAKKE
COON RAPIDS, MN
NPI
1013986637
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MN 21080)
Enumeration Date
2006-03-16
Last Update Date
2007-07-08
Business Address
-- MARK H. BRAKKE MD
9055 SPRINGBROOK DR NW
COON RAPIDS, MN 55433-5841
Phone number: 763-780-9155
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Mailing Address
-- MARK H. BRAKKE MD
PO BOX 43 MR 10809
MINNEAPOLIS, MN 55440-0043
Phone number: 612-262-4813
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