Individual provider · Type 1 NPI
Bret M. Danielson, PA-C
Medical Physician Assistant · Breezy Point, MN
NPI number
1366461873
Active
Practice location
30833 North Star Dr, Ste 1
Breezy Point, MN 56472-4407
Fax (218) 546-4400
Mailing address
320 East Main Street
Crosby, MN 56441
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant | 363AM0700X | PAC0351 (ND) |
| Medical Physician Assistant Primary | 363AM0700X | 10241 (MN) |
Medical Physician Assistant: Definition to come...
About NPI 1366461873
Bret M. Danielson, PA-C's National Provider Identifier is 1366461873, issued on Jul 18, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Breezy Point, MN. The record was last updated on Nov 19, 2020.