Individual
STEPHEN PAUL BRATLIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
430 OAK ST, BRECKENRIDGE, MN 56520-1241
(218) 643-6313
(218) 643-6347
Mailing address
PO BOX 106, BRECKENRIDGE, MN 56520-0106
(218) 643-6313
(218) 643-6347
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8897
MN
Other
Enumeration date
11/02/2006
Last updated
07/08/2007
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