Dr Amanda R Dahl, MD | |
4656 40th Ave S, Fargo, ND 58104-4397 | |
(701) 234-2431 | |
Not Available |
Full Name | Dr Amanda R Dahl |
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Gender | Female |
Speciality | Pediatrics - Pediatric Endocrinology |
Location | 4656 40th Ave S, 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 |
---|---|---|---|
1588043863 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208000000X | Pediatrics | 61028 (Minnesota) | Secondary |
2080P0205X | Pediatrics - Pediatric Endocrinology | 17421 (North Dakota) | Primary |
Entity Name | Sanford Clinic North |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548532468 PECOS PAC ID: 4284546151 Enrollment ID: O20031209000264 |
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: O20110701000031 |
Mailing Address | Practice Location Address |
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Dr Amanda R Dahl, MD Po Box 5074, Sioux Falls, SD 57117-5074 Ph: () - | Dr Amanda R Dahl, MD 4656 40th Ave S, Fargo, ND 58104-4397 Ph: (701) 234-2431 |
Lidia D Krasniewska, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2701 13th Ave S, Fargo, ND 58103 Phone: 701-234-3620 Fax: 701-234-8831 | |
Muhammad Waqas, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3000 32nd Ave S, Fargo, ND 58103 Phone: 701-364-8000 | |
Waldemar G Storm, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-2261 Fax: 701-234-7194 | |
Dr. Michele Margaret Pasierb, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-2000 | |
Brenda K Thurlow, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-2431 Fax: 701-234-3740 | |
Dr. Samuel Odame Anim, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-2000 Fax: 701-234-2345 | |
Dr. Kristina K Rauser-foltz, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 3000 32nd Avenue South, Fargo, ND 58103 Phone: 701-364-8000 Fax: 701-364-8078 |