|
| |
|
5 9th Ave N Casselton ND 58012-3339 | |
| (701) 347-4445 | |
| (701) 347-5276 |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 5 9th Ave N, Casselton, North Dakota |
| Authorized Official Name and Position | Larry G Solberg (ADMINISTRATOR - AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 7013643405 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 6001 Fargo ND 58108-6001 Ph: (701) 364-3300 | 5 9th Ave N Casselton ND 58012-3339 Ph: (701) 347-4445 |
| NPI Number | 1083666176 |
|---|---|
| Provider Enumeration Date | 05/17/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083666176 | NPI | - | NPPES |
| 10046 | Medicaid | ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Davis Chiropractic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 772 Front Street, Box 518, Casselton, ND 58012 Phone: 701-347-4006 Fax: 701-347-4247 |