Individual
CRISTY BROSOWSKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3290 20TH ST S, FARGO, ND 58104-5917
(701) 499-4800
Mailing address
519 19TH ST N, MOORHEAD, MN 56560-2340
(701) 866-5708
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PAC0425
ND
Other
Enumeration date
06/25/2010
Last updated
09/30/2013
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