Individual
MR. BRADEN ROBERT DASOVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBBS
Contact information
Practice address
1200 6TH AVE N, SAINT CLOUD, MN 56303-2735
(320) 251-2700
Mailing address
1200 6TH AVE N, SAINT CLOUD, MN 56303-2735
(320) 251-2700
Taxonomy
Speciality
Code
Description
License number
State
2084A2900X
Neurocritical Care Physician
036164918
IL
2084A2900X
Neurocritical Care Physician
Primary
79397
MN
2084N0600X
Clinical Neurophysiology Physician
036164918
IL
Other
Enumeration date
05/07/2019
Last updated
06/06/2025
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