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Contact Information

BRIAN D BRATTLOF, MD
705 PLEASANT AVE S
PARK RAPIDS, MN56470-1440
 Phone: 218-732-2800
 Fax: 218-732-2857
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for BRIAN D BRATTLOF · (Male)

NPI Number 1992751820
Status Active
Credentials MD
Entity Individual
Enumeration date 05/25/2006
Last updated 09/29/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 33031
  • FM Medicaid 529297200
  • MN Medicaid 18686
  • FM Other 819328 AMERICA'S PPO/ARAZ #
  • FM Other MN200000 LHS/BANNERHEALTH #
  • FM Other 1700499 MEDICA #
  • FM Other 1700584 MEDICA #
  • FM Other 1M789BR MNBS #
  • FM Other DA9041015604 PREFERRED ONE #
  • MN Other 20574BR MNBS #
  • MN Other 27943BR MNBS #
  • MN Other 54913BR MNBS #
  • MN Other 10064 NDBS #
  • MN Other 10475 NDBS #
  • MN Other 5117 NDBS #
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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