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Individual

MANDI L BRAUN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
310 N 10TH ST, BISMARCK, ND 58501-4516
(701) 530-7500
(701) 530-7484
Mailing address
310 N 10TH ST, BISMARCK, ND 58501-4516
(701) 530-7500
(701) 530-7484

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PAC0278
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1044404
PREFERRED ONE
ND
05
225420100
MN
01
HP76927
HEALTHPARTNERS
MN
Enumeration date
06/17/2006
Last updated
01/08/2009
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