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Individual

JAKE BROZEK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
725 HAMLINE ST, GRAND FORKS, ND 58203-2819
(806) 433-7096
Mailing address
725 HAMLINE ST, GRAND FORKS, ND 58203-2819

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
21537
ND

Other

Enumeration date
06/02/2021
Last updated
10/02/2024
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