NPI 1184923179

Alisa T Mitskog, P.C.

Organisation Clinic/Center Wahpeton, ND

Practice location

Address: 319 11th St N, Wahpeton, ND 58075-4111
Phone: (701) 642-6444
Mailing address: PO Box 1461, Wahpeton, ND 58074-1461

Authorised official

Name: Alisa T Mitskog
Title: President
Phone: (701) 642-6444

Registered specialties

Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261Q00000X Licence 500 (ND)

Other Clinic/Center providers in North Dakota →

Registry record

NPI: 1184923179
Entity type: Organization
NPI issued: 16 Mar 2011
Record last updated: 13 Oct 2015

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.