Most Relevant Information
Provider Data
| NPI Number: | 1003315425 |
| Provider Name: | NICOLE BREUER ATC |
| Entity Type: | Individual |
| Taxonomy Code: | 2255A2300X |
| Specialty: | Specialist/Technologist |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/12/2018 |
| Last Updated: | 09/28/2021 |
Provider Practice Location
8100 NORTHLAND DR
BLOOMINGTON
MN
554314800
Practice Location Phone/Fax
| Phone: | 9528318742 |
| Fax: |
Provider Mailing Location
15331 FLOWER WAY
APPLE VALLEY
MN
551243133
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |