Christopher Ryan Cunningham, MD | |
801 Broadway N, Fargo, ND 58102-3641 | |
(701) 234-2000 | |
Not Available |
Full Name | Christopher Ryan Cunningham |
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Gender | Male |
Speciality | Dermatology - Dermatopathology |
Location | 801 Broadway N, Fargo, North Dakota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346732781 | NPI | - | NPPES |
2018017656 | Other | MO | MO LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 2018017656 (Missouri) | Secondary |
207ND0900X | Dermatology - Dermatopathology | PT19688 (North Dakota) | Primary |
Entity Name | Sanford Medical Center Fargo |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184917924 PECOS PAC ID: 8426967803 Enrollment ID: O20110331000495 |
Mailing Address | Practice Location Address |
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Christopher Ryan Cunningham, MD Po Box 5074, Sioux Falls, SD 57117-5074 Ph: (605) 328-9419 | Christopher Ryan Cunningham, MD 801 Broadway N, Fargo, ND 58102-3641 Ph: (701) 234-2000 |
Dong Kim, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1702 University Dr S, Fargo, ND 58103 Phone: 701-364-3300 | |
Mrs. Rachel C Ness, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3173 43rd Street S Ste A, Fargo, ND 58104 Phone: 701-478-8780 Fax: 701-478-8781 | |
Kimberly Rae Kelly, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1702 University Dr S, Fargo, ND 58103 Phone: 701-364-3300 Fax: 701-364-8906 | |
David B Flach, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 4656 40th Ave S, Fargo, ND 58104 Phone: 701-234-8860 Fax: 701-234-8924 | |
Amanda Beehler, DO Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1702 University Dr S, Fargo, ND 58103 Phone: 701-364-3300 Fax: 701-364-8906 | |
Dr. Thomas J Matzke, Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4656 40th Ave S, Fargo, ND 58104 Phone: 701-234-8860 | |
Burton S Belknap, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1702 University Dr S, Fargo, ND 58103 Phone: 701-364-3300 Fax: 701-364-8906 |