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BRENT WIEDERHOLT, NP-C

NP-C

Family Nurse Practitioner

NPI: 1588825723IndividualAccepts Medicare

Specialties, Licenses & Credentials

Registered Nurse — Emergency

Code: 163WE0003X

R033677(SD)

Nurse Practitioner — Family

Code: 363LF0000X

SD-CNP CP000967(SD)

CMS Specialties

Education

OTHER

Class of 2015

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Contact & Hours

Address
N10 NORTH RIVER ROAD
FORT YATES, ND 58538

Quick Facts

NPI
1588825723
Entity Type
Individual
Gender
Male
Medicare
Accepted
Specialties
2
Locations
1
Years in Practice
11

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