Organization
DAKOTA ENT, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRAD R BUELL MD (PHYSICIAN PRESIDENT)
(701) 223-1967
Entity
Organization
Contact information
Practice address
810 E ROSSER AVE, SUITE 401, BISMARCK, ND 58501-4463
(701) 223-1967
(701) 223-6597
Mailing address
810 E ROSSER AVE, SUITE 401, BISMARCK, ND 58501-4463
(701) 223-1967
(701) 223-6597
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
4128
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014275
—
ND
Enumeration date
04/03/2006
Last updated
02/15/2012
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