| Dakota Clinic, Ltd. - West Acres | |
|
3902 13th Ave S Fargo ND 58103-3357 | |
| (701) 364-6600 | |
| (701) 364-6628 |
| Full Name | Dakota Clinic, Ltd. - West Acres |
|---|---|
| Speciality | Family Medicine |
| Location | 3902 13th Ave 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. - West Acres Po Box 6001 Fargo ND 58108-6001 Ph: (701) 364-3300 | Dakota Clinic, Ltd. - West Acres 3902 13th Ave S Fargo ND 58103-3357 Ph: (701) 364-6600 |
| NPI Number | 1285688598 |
|---|---|
| Provider Enumeration Date | 05/20/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285688598 | NPI | - | NPPES |
| 10046 | Medicaid | ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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