Individual
BRADLEY A BRAUNAGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1720 UNIVERSITY DR S, FARGO, ND 58103-4940
(701) 234-2000
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-6585
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5690
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
16061
—
ND
05
—
16318
—
ND
Enumeration date
07/16/2006
Last updated
12/07/2024
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