Individual
BRAD R BUELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1702 UNIVERSITY DR S, FARGO, ND 58103-4940
(701) 364-3300
(701) 364-8906
Mailing address
PO BOX 6001, FARGO, ND 58108-6001
(701) 364-3300
(701) 364-8906
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
4128
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12873
—
ND
05
—
14275
—
ND
Enumeration date
02/26/2008
Last updated
07/29/2013
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