Individual
BRENT O DSCHAAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
310 N 9TH ST, BISMARCK, ND 58501-4508
(701) 530-8800
(701) 530-8763
Mailing address
310 N 9TH ST, BISMARCK, ND 58501-4508
(701) 530-8800
(701) 530-8763
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1225
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
54920
—
ND
Enumeration date
07/18/2006
Last updated
07/09/2007
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