| Nordic Family Medicine Pc | |
|
5621 36th Ave S Unit 200 Fargo ND 58104-5270 | |
| (701) 977-9277 | |
| Not Available |
| Full Name | Nordic Family Medicine Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 5621 36th Ave S Unit 200, Fargo, North Dakota |
| Authorized Official Name and Position | Hans Erik Bjellum (OWNER) |
| Authorized Official Contact | 7013184407 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nordic Family Medicine Pc 5621 36th Ave S Unit 200 Fargo ND 58104-5270 Ph: (701) 977-9277 | Nordic Family Medicine Pc 5621 36th Ave S Unit 200 Fargo ND 58104-5270 Ph: (701) 977-9277 |
| NPI Number | 1679201578 |
|---|---|
| Provider Enumeration Date | 08/10/2022 |
| Last Update Date | 08/10/2022 |
| Medicare PECOS PAC ID | 9739564089 |
|---|---|
| Medicare Enrollment ID | O20220922001294 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679201578 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Hans E Bjellum |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396736443 PECOS PAC ID: 7315048725 Enrollment ID: I20081124000649 |
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