Underwood Clinic Pc

NPI 1770591927 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1770591927
Enumeration Date 08/04/2006
Last Updated 10/15/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name MICHELE MICHELE
Position OWNER
Phone (701) 442-3148
Fax (701) 442-3414
Practice Location
87 LINCOLN AVE
UNDERWOOD ND, 58576, US
Phone (701) 442-3148
Fax (701) 442-3414
Business Location
PO BOX 253
UNDERWOOD ND, 58576-0253, US
Phone (701) 442-3148
Fax (701) 442-3414
Toxanomy
Taxonomy Code 363LF0000X
License State North Dakota
License Number R25051
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According to our database, Underwood Clinic Pc NPI is 1770591927, taxonomy code is 363LF0000X and license number is R25051, license state is located at North Dakota. Underwood Clinic Pc physically located at 87 Lincoln Ave, Underwood ND, 58576. NPI Number 1033115704 has the healthcare provider type.

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1770591927 NPI number is provided on an as is basis without warranty of any kind. 1770591927 is maintained by the National Plan & Provider Enumeration System. The contents of Underwood Clinic Pc are for informational purposes only.