Individual
BRANDON C SPEIDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1200 S COLUMBIA RD - ALTRU HOSPITAL, GRAND FORKS, ND 58201
(701) 780-5246
(402) 559-1011
Mailing address
2401 DEMERS AVE, GRAND FORKS, ND 58201
(701) 780-1891
(402) 559-1011
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
13566
ND
2085R0202X
Diagnostic Radiology Physician
59265
MN
Other
Enumeration date
06/25/2009
Last updated
03/01/2019
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