NPI 1366716466

Serge Rasskazoff, MD

Practitioner Neurological Surgery Physician Grand Forks, ND

Practice location

Address: 1300 S Columbia Rd, Grand Forks, ND 58201-4012
Phone: (701) 780-2300
Fax: (701) 780-5772
Mailing address: 1200 S Columbia Rd, Grand Forks, ND 58201-4036

Registered specialties (2)

Neurological Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207T00000X Licence 036128821 (IL)

Other Neurological Surgery providers in North Dakota →

Neurological Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 207T00000X Licence 17-719 (ZZ)

Registry record

NPI: 1366716466
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Mar 2012
Record last updated: 12 Apr 2018

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.