Individual
DR. BREANNA NOELLE BISCHOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
22 WILEY AVE., LIDGERWOOD, ND 58053-0087
(701) 538-4114
Mailing address
128 1ST AVE NW, LIDGERWOOD, ND 58053-4026
(701) 640-5138
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
872
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
16740
—
ND
Enumeration date
01/03/2011
Last updated
06/14/2016
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