NPI 1366513970

Pamela Marie Antoniuk, MD

Practitioner Plastic Surgery Physician Fargo, ND

Practice location

Address: 3000 32nd Ave S, Fargo, ND 58103-6132
Phone: (701) 364-8000
Mailing address: PO Box 6001, Fargo, ND 58108-6001

Registered specialties

Plastic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208200000X Licence 11656 (ND)

Other Plastic Surgery providers in North Dakota →

Registry record

NPI: 1366513970
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Nov 2006
Record last updated: 24 Dec 2015

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.