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Contact Information

BROOKE HABISCH
5320 W 23RD ST
SAINT LOUIS PARK, MN55416
 Phone: 952-345-8770
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Acute Care

363LA2100X 50 Nurse Practitioner
 

Clinical Exercise Physiologist

224Y00000X
Indicates primary specialty

NPI Profile & details for BROOKE HABISCH · (Female)

NPI Number 1871914887
Status Active
Credentials
Entity Individual
Enumeration date 12/17/2013
Last updated 06/26/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 6118
Hospital affiliation(s)
  • ST CLOUD HOSPITAL - (Acute Care)
    1406 6TH AVE NORTH
    SAINT CLOUD, MN 56303
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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