Individual
BRENDA K THURLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
801 BROADWAY N, FARGO, ND 58102-3641
(701) 234-2431
(701) 234-3740
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
9267
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12167
—
ND
05
—
176687200
—
MN
Enumeration date
07/22/2006
Last updated
05/21/2022
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