NPI 1235631052
Ricky Brockberg
Practice location
- Address
- 931 Madison Ave STE 203, Mankato, MN 56001-6995
- Phone
- (507) 344-8900
- Fax
- (866) 920-6333
Registered specialties
Secured Medical Transport (VAN)
Primary
Registry record
- NPI
- 1235631052
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 7 Mar 2018
- Record last updated
- 17 Sep 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.