Individual provider · NPI-1

Alan D Bruns, M.D.

Otolaryngology · Fargo, ND

NPI number1619940210
StatusActive
Last updated in NPPESDec 31, 2013

Details

NPI
1619940210
Entity type
Individual (NPI-1)
Name
Alan D Bruns
Credential
M.D.
Sex
Male
Sole proprietor
Yes
Enumeration date
Feb 13, 2006
Last updated
Dec 31, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Y00000X Otolaryngology12956NDYes
207Y00000X Otolaryngology40207CO

Practice location

1702 University Dr S
Fargo, ND 58103-4940

Phone 701-364-3300 · Fax 701-364-8906

Mailing address

Po Box 6001
Fargo, ND 58108-6001

Phone 701-364-3300 · Fax 701-364-8906

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