Individual
DR. BRADLEY BENTON LUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
725 HAMLINE ST, GRAND FORKS, ND 58203-2819
(701) 780-6810
Mailing address
919 SUNSET DR, GRAND FORKS, ND 58201-6853
(307) 262-7221
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/30/2023
Last updated
05/30/2023
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