NPI 1659620110

Fargo Plastic Surgery PC

Organisation Plastic Surgery Physician Fargo, ND

Practice location

Address: 3280 20th St S, Fargo, ND 58104-5917
Phone: (701) 293-7480
Fax: (701) 235-2099

Authorised official

Name: Peg S Gilbertson
Title: Practice Manager
Phone: (701) 499-4807

Registered specialties

Plastic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208200000X Licence PT 12481 (ND)

Other Plastic Surgery providers in North Dakota →

Registry record

NPI: 1659620110
Entity type: Organization
NPI issued: 30 Aug 2012
Record last updated: 27 Sep 2012

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.