Vanessa Marie Dufault MD

NPI 1760775548 - Family Medicine - 207Q00000X

NPI Details
NPI 1760775548
Gender Female
Enumeration Date 05/26/2011
Last Updated 01/26/2015
Entity Type Individual
Active Over 5 years ago
Practice Location
1000 SOUTH COLUMBIA ROAD
GRAND FORKS ND, 58206-6002, US
Phone (701) 780-5000
Fax
Business Location
PO BOX 6002
GRAND FORKS ND, 58206-6002, US
Phone (701) 780-5000
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State North Dakota
License Number 13489
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According to our database, Dr. Vanessa Marie Dufault MD NPI is 1760775548, taxonomy code is 207Q00000X and license number is 13489, license state is located at North Dakota. Vanessa Marie Dufault MD physically located at 1000 South Columbia Road, Grand Forks ND, 58206-6002. NPI Number Vanessa Marie Dufault MD has the Individual type.

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1760775548 NPI number is provided on an as is basis without warranty of any kind. 1760775548 is maintained by the National Plan & Provider Enumeration System. The contents of Vanessa Marie Dufault MD are for informational purposes only.