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Individual

BRADLEY D KRAFT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
212 S BROADWAY, SUITE #4, MINOT, ND 58701-3867
(701) 838-7676
(701) 837-7962
Mailing address
212 S BROADWAY, SUITE #4, MINOT, ND 58701-3867
(701) 838-7676
(701) 837-7962

Taxonomy

Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
704
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
11762
ND
Enumeration date
11/15/2005
Last updated
10/26/2009
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