Brekke Lee Johnsrud, DDS, MPH

NPI #1922594753 in Hibbing, Minnesota

Provider Information

NPI Number: 1922594753
Entity Type: Individual
Name: Brekke Lee Johnsrud, DDS, MPH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS, MPH
Enumeration Date: Jul 4, 2018
Last Updated: Nov 19, 2019

Practice Location

Address: 2020 1ST AVENUE
City: Hibbing
State: Minnesota
ZIP Code: 55746
Phone: (218) 263-8951

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X
Dentist	122300000X	Primary

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