| |
250 25th St S Ste B, Fargo, ND 58103-6817 | |
(701) 230-1825 | |
Not Available |
Full Name | |
---|---|
Type | Facility |
Speciality | Clinic/center - Health Service |
Location | 250 25th St S Ste B, Fargo, North Dakota |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740906148 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | (* (Not Available)) | Secondary |
261QH0100X | Clinic/center - Health Service | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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250 25th St S Ste B, Fargo, ND 58103-6817 Ph: (701) 230-1825 | 250 25th St S Ste B, Fargo, ND 58103-6817 Ph: (701) 230-1825 |