Individual
BRENDA M KROGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MIS, RRA
Contact information
Practice address
3000 32ND AVE S, FARGO, ND 58103-6132
(701) 364-8000
(701) 364-8078
Mailing address
PO BOX 6001, FARGO, ND 58108-6001
(701) 364-8000
(701) 364-8078
Taxonomy
Speciality
Code
Description
License number
State
243U00000X
Radiology Practitioner Assistant
Primary
FT0005
ND
Other
Enumeration date
05/28/2013
Last updated
05/28/2013
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