NPI 1811234032

Renew Medical Clinic LLC

Organisation Pain Medicine (Anesthesiology) Physician Fargo, ND

Practice location

Address: 4225 38th St S STE 101, Fargo, ND 58104-7573
Phone: (701) 404-9909
Fax: (877) 813-3081

Authorised official

Name: David Jerome Hanson
Title: Owner
Phone: (218) 770-1006

Registered specialties

Pain Medicine (Anesthesiology) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207LP2900X Licence 44547 (MN)

Other Anesthesiology providers in North Dakota →

Registry record

NPI: 1811234032
Entity type: Organization
NPI issued: 8 Jan 2013
Record last updated: 14 May 2026

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.