Whalio Doctors

NPI 1699927897

Northland Pace Program

Organisation PACE Provider Organization Bismarck, ND

Practice location

Address
201 N 24th St, Bismarck, ND 58501
Phone
(701) 751-3050
Fax
(701) 751-3053

Authorised official

Name
Rodger Wetzel
Title
Executive Director
Phone
(701) 751-3050

Registered specialties

PACE Provider Organization Primary
Agencies Taxonomy 251T00000X Licence H7195

Registry record

NPI
1699927897
Entity type
Organization
NPI issued
21 Oct 2008
Record last updated
21 Oct 2008

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.