NPI 1023039369
Todd D Underdahl, CRNA
Practice location
- Address
- 737 Broadway, Fargo, ND 58122-0001
- Phone
- (701) 234-6258
- Fax
- (701) 234-7334
Registered specialties
Certified Registered Nurse Anesthetist
Primary
Registry record
- NPI
- 1023039369
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 22 Jul 2006
- Record last updated
- 16 Jun 2014
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.