NPI 1689836975

Meritcare Medical Group

Organisation Dermatology Physician Fargo, ND

Practice location

Address: 4656 40th Ave S, Fargo, ND 58104-4394
Phone: (701) 234-8860
Fax: (701) 234-8924

Authorised official

Name: Lisa M Carlson
Title: Cfo
Phone: (701) 234-4811

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X

Other Dermatology providers in North Dakota →

Registry record

NPI: 1689836975
Entity type: Organization
NPI issued: 27 Jun 2008
Record last updated: 27 Nov 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.