Most Relevant Information
Provider Data
| NPI Number: | 1164425112 |
| Provider Name: | BRIAN JOHN ISETTS B.C.P.S., PH.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 1835P1200X |
| Specialty: | Pharmacist |
| License Number: | 113541-1 |
Most Important Dates
| Enumeration Date: | 05/23/2005 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
308 HARVARD ST SE
RM 7-175
MINNEAPOLIS
MN
554550353
Practice Location Phone/Fax
| Phone: | 6126242140 |
| Fax: | 6126259931 |
Provider Mailing Location
3510 WILD TURKEY RD
RED WING
MN
550661765
Provider Mailing Phone/Fax
| Phone: | 6513858353 |
| Fax: |