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Dr. Brian David Kanter, MD
Military Health Care Provider in West St Paul, Minnesota
NPI 1285710202

Brian David Kanter is a Military Health Care Provider based in Saint Paul, MN. Brian David Kanter practices in West St Paul, MN and has the professional credentials of MD. The NPI Number for Brian David Kanter is 1285710202 and holds a License No. 23922 (Minnesota).

The current practice location address for Brian David Kanter is 150 Emerson Ave E, West St Paul, MN and can be reached out via phone at 612-467-1100.

Location: 150 Emerson Ave E, West St Paul, MN, 55104-5027
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1285710202
Provider Name
Brian David Kanter
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
150 Emerson Ave E, West St Paul, MN, 55104-5027
Phone Number
612-467-1100
Fax Number
Provider Enumeration Date
10/31/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
790016300 05 MN
institution
Provider Business Practice Location Address Details
Address
150 Emerson Ave E
City
West St Paul
State
Minnesota
Zip
55118-2535
Phone Number
612-467-1100
Fax Number
person
Provider Business Mailing Address Details
Address
150 Emerson Ave E
City
West St Paul
State
Minnesota
Zip
55118-2535
Phone Number
612-467-1100
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
171000000X
License No.
23922 (Minnesota)
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
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