Individual
GWEN KREFT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSRT(R)(M)(CDT)
Contact information
Practice address
3617 DOMINION ST, BISMARCK, ND 58503-1206
(701) 221-5863
Mailing address
3617 DOMINION ST, BISMARCK, ND 58503-1206
(701) 221-5863
Taxonomy
Speciality
Code
Description
License number
State
2471M2300X
Mammography Radiologic Technologist
Primary
273747
ND
Other
Enumeration date
10/24/2007
Last updated
10/24/2007
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