Individual
BRYNN LARA CHARLESWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
400 S. MINNESOTA ST, CROOKSTON, MN 56716
(218) 281-9100
Mailing address
PO BOX 13780, GRAND FORKS, ND 58208
(701) 780-1891
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
18744
ND
207Q00000X
Family Medicine Physician
Primary
77694
MN
Other
Enumeration date
07/08/2022
Last updated
09/19/2025
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