BRANDON ROBERT PORTEN

NORTH SAINT PAUL, MN
NPI1942799895
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: MN  66104)
Enumeration Date2018-05-07
Last Update Date2021-07-19
Business Address
Dr. BRANDON ROBERT PORTEN MD
2601 CENTENNIAL DR STE 100
NORTH SAINT PAUL, MN 55109-3087
Phone number: 651-777-7414
Mailing Address
Dr. BRANDON ROBERT PORTEN MD
2025 SLOAN PL STE 35
SAINT PAUL, MN 55117-2092
Phone number: 651-227-6551
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