| Living Well Dakota | |
|
1140 W Capitol Ave Bismarck ND 58501-1306 | |
| (701) 989-8251 | |
| Not Available |
| Full Name | Living Well Dakota |
|---|---|
| Speciality | Clinic/center |
| Location | 1140 W Capitol Ave, Bismarck, North Dakota |
| Authorized Official Name and Position | Jody Tanner (PROVIDER) |
| Authorized Official Contact | 7019898251 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Living Well Dakota 6612 Dakota Country Dr Bismarck ND 58503-1550 Ph: (701) 989-8251 | Living Well Dakota 1140 W Capitol Ave Bismarck ND 58501-1306 Ph: (701) 989-8251 |
| NPI Number | 1619647211 |
|---|---|
| Provider Enumeration Date | 09/15/2021 |
| Last Update Date | 09/15/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619647211 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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