specializing in general practice in Fargo, North Dakota

NPI: 1972769826

Provider Type

2

Practice Locations

Mailing Location

4622 40TH AVE S

FARGO, ND 58104

📞 7012326211

📠 7013649346

Practice Location

1517 32ND AVE S

FARGO, ND 58103

📞 7012326211

📠 7013649346

Provider Information

Gender:
Sole Proprietor:No
Enumeration Date:7/30/2008
Last Updated:7/30/2008

Credentials

Primary Credential:
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