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Organization

TRUE NORTH MEDICAL LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRADY W HANQUIST PA-C (OWNER/PROVIDER)
(402) 366-0872
Entity
Organization

Contact information

Practice address
212 N GREEN ST, CLARKS, NE 68628-2759
(402) 366-0872
Mailing address
12845 B RD, CLARKS, NE 68628-5213
(402) 366-0872

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary

Other

Enumeration date
12/14/2023
Last updated
12/14/2023
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