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Individual

BRADLEY P BELLUK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1300 S COLUMBIA RD, GRAND FORKS, ND 58201
(701) 780-2300
(701) 780-1942
Mailing address
2401 DEMERS AVE, GRAND FORKS, ND 58201
(701) 780-1891
(701) 780-1942

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
6453
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
18542
ND
Enumeration date
07/14/2005
Last updated
10/13/2020
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