Individual
MYLES BRANDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1300 ANNE ST NW, BEMIDJI, MN 56601-5103
(218) 333-5576
Mailing address
1802 S 20TH ST APT 22, GRAND FORKS, ND 58201-6179
(701) 340-5805
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R33880
ND
Other
Enumeration date
01/17/2014
Last updated
01/17/2014
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