Individual
TYRONE BERENTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
316 OHMER ST, BOTTINEAU, ND 58318-1045
(701) 228-9400
(701) 228-9398
Mailing address
316 OHMER ST, BOTTINEAU, ND 58318-1045
(701) 228-9400
(701) 228-9398
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
17367
ND
Other
Enumeration date
06/20/2018
Last updated
03/21/2023
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