Brant Ridder

NPI #1295469336 in Fremont, Nebraska

Provider Information

NPI Number: 1295469336
Entity Type: Individual
Name: Brant Ridder
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Enumeration Date: Jul 14, 2022
Last Updated: Oct 30, 2025

Practice Location

Address: 410 E 22ND ST STE 1
City: Fremont
State: Nebraska
ZIP Code: 68025-2640
Phone: (402) 719-7152

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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