BRIANA RUSSELL

SHAKOPEE, MN
NPI1487411757
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MN  14809)
Enumeration Date2024-03-04
Last Update Date2024-03-04
Business Address
BRIANA RUSSELL
4201 DEAN LAKES BLVD STE 120
SHAKOPEE, MN 55379-2850
Phone number: 952-496-6700
Mailing Address
BRIANA RUSSELL
13167 22ND ST N
STILLWATER, MN 55082-2529
Phone number: 651-528-2885