NPI 1205854080

Douglas a Roise, MD

Practitioner Clinical Pathology/Laboratory Medicine Physician Fargo, ND

Practice location

Address: 1702 University Dr S, Fargo, ND 58103-4940
Phone: (701) 364-3300
Fax: (701) 364-8906
Mailing address: PO Box 6001, Fargo, ND 58108-6001

Registered specialties

Clinical Pathology/Laboratory Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207ZP0105X Licence 4957 (ND)

Other Pathology providers in North Dakota →

Registry record

NPI: 1205854080
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Jul 2006
Record last updated: 18 Jul 2012

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.