Frederick Kieley, | |
5225 23rd Ave S, Fargo, ND 58104-7927 | |
(701) 417-2575 | |
Not Available |
Full Name | Frederick Kieley |
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Gender | Male |
Speciality | Hospitalist |
Location | 5225 23rd 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 |
---|---|---|---|
1306263868 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208M00000X | Hospitalist | 14555 (North Dakota) | Primary |
Entity Name | Sanford Clinic North |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942241351 PECOS PAC ID: 4284546151 Enrollment ID: O20031112000221 |
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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Frederick Kieley, 5225 23rd Ave S, Fargo, ND 58104-7927 Ph: (701) 417-2575 | Frederick Kieley, 5225 23rd Ave S, Fargo, ND 58104-7927 Ph: (701) 417-2575 |
Malik Muhammad Anwar Ul Haq, M.D. Hospitalist Medicare: Not Enrolled in Medicare Practice Location: 3000 32nd Ave S, Fargo, ND 58103 Phone: 701-364-8000 | |
Christina Harmon, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 3000 32nd Ave S, Fargo, ND 58103 Phone: 701-364-8000 | |
Riley Clark, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 5225 23rd Ave S, Fargo, ND 58104 Phone: 701-417-2000 | |
Irina Hillman, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 5225 23rd Ave S, Fargo, ND 58104 Phone: 701-417-2575 Fax: 701-417-2535 | |
Hannah Margaret Schradick, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 5225 23rd Ave S, Fargo, ND 58104 Phone: 701-234-5933 | |
James D Fowler, PA Hospitalist Medicare: Medicare Enrolled Practice Location: 5225 23rd Ave S, Fargo, ND 58104 Phone: 701-417-2575 | |
Weimin Hao, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 737 Broadway, Fargo, ND 58122 Phone: 701-234-2731 Fax: 701-234-2158 |