LYDIA CHARDEL BRUENJES

FARGO, ND
NPI1720566847
Former NameLYDI CHARDEL STINAR
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: ND  PAC0931)
Additional Taxonomies363A00000X Physician Assistant
(Licence: MI  5601008509)
363A00000X Physician Assistant
(Licence: MN  13972)
Enumeration Date2018-07-31
Last Update Date2022-03-21
Business Address
LYDIA CHARDEL BRUENJES PA
4110 51ST AVE S
FARGO, ND 58104-7776
Phone number: 017-364-3100
Mailing Address
LYDIA CHARDEL BRUENJES PA
1702 UNIVERSITY DR S
FARGO, ND 58103-4940
Phone number: