Imdieke, Brian Holm

Imdieke, Brian Holm is an individual health care provider with primary practice located at 701 Park Ave , Minneapolis MN 55415-1623. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as his primary health care specialty. Imdieke, Brian Holm can be contacted via phone (612) 873-4401.

Contact Information

Primary practice address
701 Park Ave Minneapolis MN 55415-1623
Phone: (612) 873-4401
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X R 157007-6 Minnesota

Profile Details

NPI number 1164764064
LBN Legal business name Imdieke, Brian Holm
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 19th, 2013
Last updated Mar 19th, 2013 - about 13 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.

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