Individual
KRISTIN BRANDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5225 23RD AVE S, FARGO, ND 58104
(701) 417-2000
Mailing address
837 LEONARDS WAY, ARGUSVILLE, ND 58005-9602
(319) 431-8209
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
125-065202
IL
Other
Enumeration date
06/23/2014
Last updated
06/22/2018
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