Individual
BRENNAN MICHEAL FORWARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3284 51ST ST S UNIT 3, FARGO, ND 58104-7983
(701) 532-2242
Mailing address
3284 51ST ST S UNIT 3, FARGO, ND 58104-7983
(701) 532-2242
(701) 532-2518
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
13334
ND
208000000X
Pediatrics Physician
58335
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
81192
—
ND
Enumeration date
05/10/2011
Last updated
02/17/2026
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