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2704 Broadway N Suite C Fargo ND 58102-1487 | |
| (701) 232-3100 | |
| (701) 232-3135 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 2704 Broadway N, Fargo, North Dakota |
| Authorized Official Name and Position | Harjinder K Virdee (PSYCHIATRIST) |
| Authorized Official Contact | 7012323100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2704 Broadway N Suite C Fargo ND 58102-1487 Ph: (701) 232-3100 | 2704 Broadway N Suite C Fargo ND 58102-1487 Ph: (701) 232-3100 |
| NPI Number | 1396915120 |
|---|---|
| Provider Enumeration Date | 03/07/2008 |
| Last Update Date | 03/07/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396915120 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 6528 (North Dakota) | Primary |
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Fraser, Ltd. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2902 University Dr S, Fargo, ND 58103 Phone: 701-232-3301 Fax: 701-237-5775 | |
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Path Minnesota, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1202 Westrac Dr S Ste 400, Fargo, ND 58103 Phone: 701-280-9545 Fax: 701-451-9473 | |
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