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1831152388
BRIAN GERARD PROKOSCH
SAINT PAUL, MN
NPI
1831152388
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MN 31739)
Enumeration Date
2006-04-07
Last Update Date
2021-03-11
Business Address
BRIAN GERARD PROKOSCH MD
333 SMITH AVE N SUITE 4314A
SAINT PAUL, MN 55102-2344
Phone number: 651-241-8436
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Mailing Address
BRIAN GERARD PROKOSCH MD
PO BOX 43 MR 10809
MINNEAPOLIS, MN 55440-0043
Phone number: 612-262-4813
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