NPI 1003802430

Anthony Kevin Muiderman, MD

Practitioner Plastic Surgery Physician Grand Forks, ND

Practice location

Address: 3165 Demers Ave - Truyu Aesthetic Center, Grand Forks, ND 58201
Phone: (701) 780-6623
Mailing address: 2401 Demers Ave, Grand Forks, ND 58201

Registered specialties

Plastic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208200000X Licence 10458 (ND)

Other Plastic Surgery providers in North Dakota →

Registry record

NPI: 1003802430
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Sep 2005
Record last updated: 26 Feb 2019

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.