Individual
MR. ETHAN JOSEPH BRENNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSGC
Contact information
Practice address
820 4TH ST N, FARGO, ND 58102-4539
(701) 234-2448
(701) 234-7239
Mailing address
820 4TH ST N, FARGO, ND 58102-4539
(701) 234-2448
(701) 234-7239
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
—
—
Other
Enumeration date
11/28/2017
Last updated
11/28/2017
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