Individual
BRIAN L ERENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
801 BROADWAY N, FARGO, ND 58102-3641
(701) 234-6259
Mailing address
801 BROADWAY N, FARGO, ND 58102-3641
(701) 234-6259
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R43040
ND
Other
Enumeration date
04/19/2016
Last updated
04/19/2016
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