Individual
JENNIFER BROTTLUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3955 56TH ST S STE D, FARGO, ND 58104-4845
(701) 234-2000
(701) 234-3515
Mailing address
PO BOX 6001, FARGO, ND 58108-6001
(701) 364-3300
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
13699
ND
Other
Enumeration date
06/07/2012
Last updated
04/29/2022
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