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1538769633
BRENTON MICHAEL GREEN
BISMARCK, ND
NPI
1538769633
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: ND PAC0858)
Enumeration Date
2020-10-28
Last Update Date
2020-10-28
Business Address
Mr. BRENTON MICHAEL GREEN PA-C
900 E BROADWAY AVE
BISMARCK, ND 58501-4520
Phone number: 701-530-7000
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Mailing Address
Mr. BRENTON MICHAEL GREEN PA-C
3421 BUTTERFIELD DR
BISMARCK, ND 58503-8061
Phone number: 218-230-8214
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