Individual
CHARLES J BREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
315 E CALDONIA AVE, HILLSBORO, ND 58045
(701) 436-5311
(701) 436-4514
Mailing address
315 E CALDONIA AVE, PO BOX 639, HILLSBORO, ND 58045
(701) 436-5311
(701) 436-4514
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
36008
MN
207Q00000X
Family Medicine Physician
Primary
6161
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
17292
—
ND
Enumeration date
07/16/2006
Last updated
01/06/2012
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