Individual
BRANDEN PETRUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
62792
MN
208600000X
Surgery Physician
Primary
DR.0066493
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/30/2015
Last updated
07/12/2021
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