Individual
CHARLES BRATSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.N
Contact information
Practice address
100 CHEYENNE AVE, LAME DEER, MT 59043-0070
(406) 477-4400
Mailing address
PO BOX 70, 100 CHEYENNE AVE., LAME DEER, MT 59043-0070
(406) 477-4400
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
RN21041
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
163W00000X
TAXONOMY
MT
Enumeration date
04/18/2014
Last updated
04/18/2014
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