Individual
CHRISTINE S BRANDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2400 32ND AVE S, FARGO, ND 58103-5800
(701) 234-8830
Mailing address
2400 32ND AVE S, FARGO, ND 58103-5800
(701) 234-8830
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PAC0489
ND
363AM0700X
Medical Physician Assistant
PAC0489
ND
Other
Enumeration date
07/24/2012
Last updated
01/20/2017
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