Individual
JEREL JAMES BRANDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
520 S EAGLE RD, MERIDIAN, ID 83642-6351
(208) 381-6930
(208) 381-6931
Mailing address
PO BOX 5010, MINOT, ND 58702-5010
(701) 418-8000
(701) 857-3430
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
13365
ND
208600000X
Surgery Physician
Primary
3371143
ID
208600000X
Surgery Physician
LT13365
ND
Other
Enumeration date
05/19/2009
Last updated
09/23/2025
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