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NPI Code Detail

MEDICARE: AMY BRENDEL M.D

MEDICARE: AMY BRENDEL M.D
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianA93603MN
2207R00000XInternal Medicine PhysicianA93603CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1A93603OTHERCACA LICENSE
263447OTHERMNMN LICENSE

General Provider Information

NPI Number : 1073703567
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY BRENDEL M.D
Provider Business Mailing Address
First Line : 2350 W EL CAMINO REAL
Second Line : 2ND FLOOR
City : MOUNTAIN VIEW
State : CA
Zip : 94040-6201
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 407 W 66TH ST
Second Line :
City : RICHFIELD
State : MN
Zip : 55423-2304
Country : US
Telephone Number : 612-798-8800
Fax Number : 612-798-8816
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/31/2007
Last Update Date : 03/11/2021

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