Ricky Brockberg
Ricky Brockberg is a Secured Medical Transport (VAN) in Mankato, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.
- Licensed in
- MN
- In the registry since
- 2018
Practice location Address checks out
931 Madison Ave Ste 203Mankato, MN 56001-6995
Phone: (507) 344-8900
Fax: (866) 920-6333
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Secured Medical Transport (VAN) (primary) | Taxonomy 343800000X · Licence 382785 (MN) |
|---|
Record details
| NPI number | 1235631052 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | March 7, 2018 |
| Last updated in NPPES | September 17, 2021 |
| Certification date | September 17, 2021 |