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Dr. Jeffrey Rex Brace, MD
Diagnostic Radiology Physician in Roseville, Minnesota
NPI 1619905924

Jeffrey Rex Brace is a Diagnostic Radiology Physician based in Roseville, MN and is specialized in Diagnostic Radiology. Jeffrey Rex Brace practices in Roseville, MN and has the professional credentials of MD. The NPI Number for Jeffrey Rex Brace is 1619905924 and holds a License No. 44515 (Minnesota).

The current practice location address for Jeffrey Rex Brace is 2355 Highway 36 W Ste 100, Roseville, MN and can be reached out via phone at 651-292-2000.

Location: 2355 Highway 36 W Ste 100, Roseville, MN, 55113-3905
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Provider Profile Details
NPI Number
1619905924
Provider Name
Jeffrey Rex Brace
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2355 Highway 36 W Ste 100, Roseville, MN, 55113-3905
Phone Number
651-292-2000
Fax Number
Provider Enumeration Date
06/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1034029 01 MN PREFERRED ONE
588T5BR 01 MN BCBS
0091681 05 MT
16-02032 01 MN MEDICA PRIMARY
1811611 01 MN ARAZ
330412400 05 MN
P00253879 01 MN RAILROAD MEDICARE
0589325 05 IA
16-03496 01 MN MEDICA CHOICE
B592 01 MN CHAMPUS/TRIWEST
HP44290 01 MN HEALTHPARTNERS
17131 01 MN UCARE
34612300 05 WI
institution
Provider Business Practice Location Address Details
Address
2355 Highway 36 W Ste 100
City
State
Zip
55113-3905
Phone Number
651-292-2000
Fax Number
person
Provider Business Mailing Address Details
Address
2355 Highway 36 W Ste 100
City
State
Zip
55113-3905
Phone Number
651-292-2000
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Neuroradiology
Taxonomy
License No.
44515 (Minnesota)
Definition
A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
44515 (Minnesota)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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