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ILENE BRACKIN PA-C

Individual Provider (NPI-1) Active

Physician Assistant, Surgical

Provider Information

NPI Number
1457451981
Provider Type
Individual Provider (NPI-1)
Credentials
PA-C
Status
Active

Contact & Location

Address
310 N 10TH ST, BISMARCK, ND, 585014516
Phone
(701) 530-7500
Fax
(701) 530-7484

Specialties & Taxonomies

Physician Assistant License: ND #PAC0236
Physician Assistant, Surgical License: ND #PAC0236
Physician Assistant, Surgical Primary

All Addresses

LOCATION

310 N 10TH ST

BISMARCK, ND, 585014516

(701) 530-7500

MAILING

310 N 10TH ST

BISMARCK, ND, 585014516

(701) 530-7500