Dakota Clinic, Ltd. - Northport | |
2710 Broadway N Fargo ND 58102-1408 | |
(701) 364-9001 | |
(701) 364-9005 |
Full Name | Dakota Clinic, Ltd. - Northport |
---|---|
Speciality | Family Medicine |
Location | 2710 Broadway N, 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. - Northport Po Box 6001 Fargo ND 58108-6001 Ph: (701) 364-3300 | Dakota Clinic, Ltd. - Northport 2710 Broadway N Fargo ND 58102-1408 Ph: (701) 364-9001 |
NPI Number | 1679525745 |
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Provider Enumeration Date | 05/17/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1679525745 | NPI | - | NPPES |
10046 | Medicaid | ND |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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