Individual
MR. BRUCE JAMES CHAFFEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
RED LAKE HOSPITAL, 24760 HOSPITAL DRIVE, RED LAKE, MN 56671-5667
(218) 679-3912
Mailing address
407 TAFT AVE NE, BEMIDJI, MN 56601-4626
(218) 766-4007
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
6414
MN
Other
Enumeration date
05/10/2019
Last updated
05/10/2019
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