Individual
MADISYN LOU BREKKE I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
524 4TH AVE NE UNIT 19, DEVILS LAKE, ND 58301-2400
(701) 662-7057
(701) 662-3360
Mailing address
524 4TH AVE NE UNIT 19, DEVILS LAKE, ND 58301-2400
(701) 662-7057
(701) 662-3360
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
000
ND
Other
Enumeration date
10/31/2018
Last updated
10/31/2018
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