Individual
MICHAEL J BYDAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
151 S 4TH ST STE 401, GRAND FORKS, ND 58201-4715
(701) 795-3000
(701) 795-3050
Mailing address
1111 GATEWAY DR NE, EAST GRAND FORKS, MN 56721-2620
(218) 793-0420
(218) 793-0424
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
174400000X
Specialist
—
—
Other
Enumeration date
05/12/2008
Last updated
07/27/2023
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