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BRENT WIEDERHOLT, NP-C
NP-C
Family Nurse Practitioner
NPI: 1588825723IndividualAccepts Medicare
Specialties, Licenses & Credentials
Emergency Registered Nurse
Registered Nurse — Emergency
Code: 163WE0003X
R033677(SD)
Family Nurse PractitionerPrimary
Nurse Practitioner — Family
Code: 363LF0000X
SD-CNP CP000967(SD)
CMS Specialties
PrimaryNURSE PRACTITIONER
Education
OTHER
Class of 2015
Contact & Hours
- Address
- N10 NORTH RIVER ROAD
FORT YATES, ND 58538 - Phone
- (701) 854-3831
Quick Facts
- NPI
- 1588825723
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 2
- Locations
- 1
- Years in Practice
- 11
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