| Dakota Clinic, Ltd. | |
|
1702 University Dr S Fargo ND 58103-4940 | |
| (701) 364-3300 | |
| (701) 364-8906 |
| Full Name | Dakota Clinic, Ltd. |
|---|---|
| Speciality | Family Medicine |
| Location | 1702 University Dr S, Fargo, 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 |
|---|---|
| Dakota Clinic, Ltd. Po Box 6001 Fargo ND 58108-6001 Ph: (701) 364-3300 | Dakota Clinic, Ltd. 1702 University Dr S Fargo ND 58103-4940 Ph: (701) 364-3300 |
| NPI Number | 1790739076 |
|---|---|
| Provider Enumeration Date | 05/20/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790739076 | NPI | - | NPPES |
| 10046 | Medicaid | ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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