Nathan Brunken, MD
Emergency Medicine in Detroit Lakes, MN. Individual provider (NPI-1).
NPI number1124470711
StatusActive
Last updated in NPPESMay 7, 2019
Details
- NPI
- 1124470711
- Entity type
- Individual (NPI-1)
- Name
- Nathan Brunken
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 7, 2016
- Last updated
- May 7, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | 65126 | MN | Yes |
| 207P00000X | Emergency Medicine | 4301110876 | MI | |
| 390200000X | Student in an Organized Health Care Education/Training Program | 4301110876 | MI |
Practice location
1027 Washington AveDetroit Lakes, MN 56501-3409
Phone 218-847-5611
Mailing address
1702 University Dr SFargo, ND 58103-4940
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Other Emergency Medicine Physician providers in Detroit Lakes, MN
- Abraham Stephen Campos, MDNPI 1649684333
- Carl N. Kaster, MDNPI 1295748440
- Rachel Redig, M.D.NPI 1144571308
- Nathaniel Keith Ronning, MDNPI 1093941858
All 5 Emergency Medicine Physician providers in Detroit Lakes · All 554 providers in Detroit Lakes
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