NPI 1104525898

Sickbay PLLC

Organisation General Practice Physician Mandan, ND

Practice location

Address: 4108 39th Ave NW, Mandan, ND 58554-1253
Phone: (701) 426-4291

Authorised official

Name: Ezra Koch
Title: Member
Phone: (701) 426-4291

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X

Other General Practice providers in North Dakota →

Registry record

NPI: 1104525898
Entity type: Organization
NPI issued: 1 Mar 2023
Record last updated: 1 Mar 2023

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.