| Viscito Family Medicine, Pllc | |
|
2750 S 26th St Suite C Grand Forks ND 58201-6432 | |
| (701) 757-1999 | |
| (701) 757-0898 |
| Full Name | Viscito Family Medicine, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 2750 S 26th St, Grand Forks, North Dakota |
| Authorized Official Name and Position | Matthew Stephen Viscito (PROPRIETOR) |
| Authorized Official Contact | 7017571999 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Viscito Family Medicine, Pllc 2750 S 26th St Suite C Grand Forks ND 58201-6432 Ph: (701) 757-1999 | Viscito Family Medicine, Pllc 2750 S 26th St Suite C Grand Forks ND 58201-6432 Ph: (701) 757-1999 |
| NPI Number | 1861828212 |
|---|---|
| Provider Enumeration Date | 09/17/2013 |
| Last Update Date | 01/07/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861828212 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 10982 (North Dakota) | Primary |
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