Individual
BREANNA J. PRIVRATSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
400 S MINNESOTA ST, CROOKSTON, MN 56716-1808
(121) 828-1910
(218) 281-9189
Mailing address
2401 DEMERS AVE, GRAND FORKS, ND 58201-4183
(701) 780-5000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
12751
MN
Other
Enumeration date
08/01/2018
Last updated
12/21/2020
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