Individual
CASEY MYKLEBUST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
7448 HIGHWAY 281, CANDO, ND 58324-9202
(701) 968-4411
Mailing address
7448 HIGHWAY 281, CANDO, ND 58324-9202
(701) 968-4411
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PAC0959
ND
Other
Enumeration date
08/03/2022
Last updated
08/03/2022
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