Mandy Lea Sorlie MD

NPI 1649478090 - General Practice - 208D00000X

NPI Details
NPI 1649478090
Gender Female
Enumeration Date 07/06/2007
Last Updated 05/07/2012
Entity Type Individual
Active Over 9 years ago
Practice Location
904 5TH AVE NE
JAMESTOWN ND, 58401-3437, US
Phone (701) 253-4020
Fax
Business Location
904 5TH AVE NE
JAMESTOWN ND, 58401-3437, US
Phone (701) 253-4020
Fax
Toxanomy
Taxonomy Code 208D00000X
License State Indiana
License Number 11013734A
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According to our database, Mandy Lea Sorlie MD NPI is 1649478090, taxonomy code is 208D00000X and license number is 11013734A, license state is located at Indiana. Mandy Lea Sorlie MD physically located at 904 5th Ave Ne, Jamestown ND, 58401-3437. NPI Number Mandy Lea Sorlie MD has the Individual type.

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1649478090 NPI number is provided on an as is basis without warranty of any kind. 1649478090 is maintained by the National Plan & Provider Enumeration System. The contents of Mandy Lea Sorlie MD are for informational purposes only.