Search › Minnesota › 174400000X
Brydon Wanner
NPI 1275267932 · on the registry since 2022 · sole proprietor
Practice
- Address
- 1505 30th Ave S
Moorhead, MN 56560 - Phone
- (218) 287-4338
- Clinicians at this address
- 90
Additional practice sites
- 1355 S Hill St, Los Angeles, CA
Registry record
- Primary taxonomy
- 174400000X
174400000X
- Also registered as
- 106H00000X
225C00000X
390200000X - Sex
- Male
- Record last updated
- 2024-09-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota