BRANT RIDDER

FREMONT, NE
NPI1295469336
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NE  3044)
Enumeration Date2022-07-14
Last Update Date2024-01-22
Business Address
BRANT RIDDER
410 E 22ND ST STE 1
FREMONT, NE 68025-2640
Phone number: 402-719-7152
Mailing Address
BRANT RIDDER
410 E 22ND ST STE 1
FREMONT, NE 68025-2640
Phone number: 402-719-7152