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NPI Code Detail

MEDICARE: MR. AARON REID VANBRUNT LA.C

MEDICARE:  MR. AARON REID VANBRUNT  LA.C
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
1171100000XAcupuncturistMN

General Provider Information

NPI Number : 1275766164
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. AARON REID VANBRUNT LA.C
Provider Business Mailing Address
First Line : 730 CLEVELAND AVE S
Second Line :
City : SAINT PAUL
State : MN
Zip : 55116-1345
Country : US
Telephone Number : 651-699-8610
Fax Number : 651-699-1207
Provider Business Practice Location Address
First Line : 730 CLEVELAND AVE S
Second Line :
City : SAINT PAUL
State : MN
Zip : 55116-1345
Country : US
Telephone Number : 651-699-8610
Fax Number : 651-699-1207
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/26/2009
Last Update Date : 08/26/2009

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Directions to “ MR. AARON REID VANBRUNT LA.C” Practice Location

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