Individual
BRANT RIDDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
410 E 22ND ST STE 1, FREMONT, NE 68025-2640
(402) 719-7152
Mailing address
410 E 22ND ST STE 1, FREMONT, NE 68025-2640
(402) 727-7979
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3044
NE
Other
Enumeration date
07/14/2022
Last updated
10/30/2025
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