DR. Brenton William Douglass, MD is a student in an organized health care education training program in Minneapolis, MN. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. DR. Brenton William Douglass, MD NPI is 1346822566. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
2450 RIVERSIDE AVE # R200
MINNEAPOLIS, MN
ZIP 55454-450
Phone: (612) 273-8043
The NPI 1346822566 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 4/27/2021 and was last updated on 4/27/2021.