City of Brainerd

NPI #1578801700 in Brainerd, Minnesota

Provider Information

NPI Number: 1578801700
Entity Type: Organization
Organization Name: City of Brainerd
Primary Specialty: Bus
Enumeration Date: Jan 23, 2013
Last Updated: Jan 23, 2013

Practice Location

Address: 501 LAUREL ST
City: Brainerd
State: Minnesota
ZIP Code: 56401-3595
Phone: (218) 828-6172

Authorized Official

Name: MR. THOMAS W JAY
Title: COORDINATOR
Phone: (218) 828-6172

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Bus	347B00000X	Primary

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