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Susan Brust Llc
Adult Mental Health Clinic/Center in Rochester, Minnesota
NPI 1215003231

Susan Brust Llc is an Adult Mental Health Clinic/Center based in Rochester, MN and is specialized in Adult Mental Health. Susan Brust Llc practices in Rochester, MN. The NPI Number for Susan Brust Llc is 1215003231 and holds a License No. R 130695-2 (Minnesota).

The current practice location address for Susan Brust Llc is 3253 19Th St Nw, Rochester, MN and can be reached out via phone at 507-280-0690 and via fax at 507-282-6659.

Location: 3253 19Th St Nw, Rochester, MN, 55901-6786
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1215003231
Provider Name
Susan Brust Llc
Credential
Provider Entity Type
Organization
Address
3253 19Th St Nw, Rochester, MN, 55901-6786
Phone Number
507-280-0690
Fax Number
507-282-6659
Provider Enumeration Date
11/28/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
3253 19Th St Nw
City
Rochester
State
Minnesota
Zip
55901-6786
Phone Number
507-280-0690
Fax Number
507-282-6659
person
Provider Business Mailing Address Details
Address
3253 19Th St Nw
City
Rochester
State
Minnesota
Zip
55901-6786
Phone Number
507-280-0690
Fax Number
507-282-6659
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
R 130695-2 (Minnesota)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
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