Individual
MELANIE MARIE BRUMWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3000 32ND AVE S, FARGO, ND 58103-6132
(701) 364-8000
(701) 364-8078
Mailing address
1702 UNIVERSITY DR S, FARGO, ND 58103-4940
(704) 364-4999
(701) 364-8476
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
12454
ND
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1459226
—
ND
05
—
17090
—
ND
Enumeration date
03/26/2008
Last updated
03/08/2022
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