NPI 1417960477

Mark J Krisburg, MD

Practitioner Occupational Medicine Physician Grand Forks, ND

Practice location

Address: 860 S Columbia Rd., Grand Forks, ND 58201-4028
Phone: (701) 780-6697
Mailing address: 2401 Demers Ave - Altru Business Center, Grand Forks, ND 58201

Registered specialties

Occupational Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2083X0100X Licence 15038 (ND)

Other Preventive Medicine providers in North Dakota →

Registry record

NPI: 1417960477
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Aug 2006
Record last updated: 14 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.