Individual
RONALD D BRANDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
725 CENTER AVE, SUITE 2, MOORHEAD, MN 56560-1958
(218) 233-2650
Mailing address
725 CENTER AVE, SUITE 2, MOORHEAD, MN 56560-1958
(218) 233-2650
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2018
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26803OP
BCBC MN
MN
01
—
8911
BCBS ND
MN
05
—
967523000
—
MN
Enumeration date
04/11/2007
Last updated
12/21/2016
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