NPI 1972769826

Hans Bjellum MD PC

Organisation General Practice Physician Fargo, ND

Practice location

Address: 1517 32nd Ave S, Fargo, ND 58103-5905
Phone: (701) 232-6211
Fax: (701) 364-9346
Mailing address: 4622 40th Ave S, Fargo, ND 58104-4394

Authorised official

Name: Hans Bjellum
Title: Owner
Phone: (320) 815-7555

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence 41143 (MN)

Other General Practice providers in North Dakota →

Registry record

NPI: 1972769826
Entity type: Organization
NPI issued: 30 Jul 2008
Record last updated: 30 Jul 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.