Individual
BRIAN D BRATTLOF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
705 PLEASANT AVE S, PARK RAPIDS, MN 56470-1440
(218) 732-2800
(218) 732-2857
Mailing address
705 PLEASANT AVE S, PARK RAPIDS, MN 56470-1440
(218) 732-2800
(218) 732-2857
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
33031
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10064
NDBS #
MN
01
—
10475
NDBS #
MN
01
—
1700499
MEDICA #
FM
01
—
1700584
MEDICA #
FM
05
—
18686
—
MN
01
—
1M789BR
MNBS #
FM
01
—
20574BR
MNBS #
MN
01
—
27943BR
MNBS #
MN
01
—
5117
NDBS #
MN
05
—
529297200
—
FM
01
—
54913BR
MNBS #
MN
01
—
819328
AMERICA'S PPO/ARAZ #
FM
01
—
DA9041015604
PREFERRED ONE #
FM
01
—
MN200000
LHS/BANNERHEALTH #
FM
Enumeration date
05/25/2006
Last updated
09/29/2011
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