NPI 1104112127
Hans Bjellum, MD, PC
Practice location
- Address
- 1517 32nd Ave S, Fargo, ND 58103-5905
- Phone
- (701) 364-2909
- Mailing address
- 6501 City West Pkwy, Eden Prairie, MN 55344-3248
Authorised official
- Name
- Hans Bjellum
- Title
- President
- Phone
- (701) 232-6211
Registered specialties
Non-Pharmacy Dispensing Site
Primary
Registry record
- NPI
- 1104112127
- Entity type
- Organization
- NPI issued
- 28 Jun 2011
- Record last updated
- 28 Jun 2011
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.