Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Brook Butzer Waldo, MD

Individual provider Psychiatry Physician · NPI 1417482308

Brook Butzer Waldo, MD is a Psychiatry Physician in Minneapolis, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2017
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

2450 Riverside Ave F282/2A W
Minneapolis, MN 55454-1450
Phone: (612) 273-9824
Fax: (612) 273-9779
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 64458 (MN)

Record details

NPI number1417482308
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 27, 2017
Last updated in NPPESJune 9, 2021
Certification dateJune 9, 2021
Mailing address2450 Riverside Ave, F282/2a West, Minneapolis, MN 55454-1450

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