NPI 1780656702 · live from the CMS NPI Registry
Iris A. Brossard, M.D.
Psychiatry & Neurology, Neurology in St Cloud, MN. National Provider Identifier 1780656702, active.
NPI record
| NPI | 1780656702 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Neurology 2084N0400X |
| Practice location | 1200 Sixth Ave No, Centra Care Clinic, St Cloud, MN 56303 |
| Practice phone | 320-252-5731 |
| Enumerated | February 3, 2006 |
| Last updated | June 17, 2009 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist | 174400000X | MD043369E (PA) |
| Psychiatry & Neurology, Neurology primary | 2084N0400X | 51670 (MN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.