MRS. Khadijah Desiree Brunner

NPI #1174282743 in White Bear Lake, Minnesota

Provider Information

NPI Number: 1174282743
Entity Type: Individual
Name: MRS. Khadijah Desiree Brunner
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Enumeration Date: Dec 10, 2021
Last Updated: Dec 12, 2021

Practice Location

Address: 1011 MEADOWLANDS DR
City: White Bear Lake
State: Minnesota
ZIP Code: 55127-2339
Phone: (612) 315-1976

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

Similar Providers

Provider Name	Specialty	City
Amber Creel	Technician, Other	White Bear Lake	AI Deep Dive
Jenna Breseman	Technician, Other	White Bear Lake	AI Deep Dive
Janice Louise Gillen	Technician, Other	White Bear Lake	AI Deep Dive
Karly Fischer	Technician, Other	White Bear Lake	AI Deep Dive
Braxten Hoistad	Technician, Other	White Bear Lake	AI Deep Dive

Want to research this healthcare provider further?