Individual
MR. BRET M DANIELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
30833 NORTH STAR DR, STE 1, BREEZY POINT, MN 56472-4407
(218) 568-4926
(218) 546-4400
Mailing address
320 EAST MAIN STREET, CROSBY, MN 56441
(218) 546-7000
(218) 546-4400
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
10241
MN
363AM0700X
Medical Physician Assistant
PAC0351
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28513
BSND @ WISHEK
ND
01
—
28514
BSND @ KULM
ND
01
—
28515
BSND @ NAPOLEON
ND
01
—
28516
BSND @ GACKLE
ND
Enumeration date
07/18/2006
Last updated
11/19/2020
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