Brod, Patrick John

Brod, Patrick John is an individual health care provider with primary practice located at 927 Churchill St W , Stillwater MN 55082-6605. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Brod, Patrick John can be contacted via phone (651) 439-5330.

Contact Information

Primary practice address
927 Churchill St W Stillwater MN 55082-6605
Phone: (651) 439-5330
Fax: (651) 430-4528
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 46674 Minnesota

Profile Details

NPI number 1942209911
LBN Legal business name Brod, Patrick John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2005
Last updated Jan 6th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1942209911 NPPES
Minnesota MEDICAID 916470700
Minnesota MEDICAID 34293400

Popular Providers