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Individual

BRETT J BUICAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
1900-8TH AVE. S.E., MINOT, ND 58701
(701) 857-5998
(701) 857-5022
Mailing address
PO BOX 5010, MINOT, ND 58702-5010
(701) 857-5650
(701) 857-5031

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
368
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
12911
ND
Enumeration date
10/11/2006
Last updated
07/08/2007
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