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NPI Code Detail

MEDICARE: BRAEDAN SINGH

MEDICARE: BRAEDAN SINGH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1175T00000XPeer Specialist

General Provider Information

NPI Number : 1184149460
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRAEDAN SINGH
Provider Business Mailing Address
First Line : 3361 MAPLE LEAF LOOP S
Second Line :
City : FARGO
State : ND
Zip : 58104-7851
Country : US
Telephone Number : 702-815-3754
Fax Number :
Provider Business Practice Location Address
First Line : 2624 9TH AVE S
Second Line :
City : FARGO
State : ND
Zip : 58103-2350
Country : US
Telephone Number : 701-298-4500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/08/2017
Last Update Date : 06/04/2024

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Directions to “ BRAEDAN SINGH ” Practice Location

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