Viscito Family Medicine, Pllc

NPI 1861828212 - Family Medicine - 207Q00000X

NPI Details
NPI 1861828212
Enumeration Date 09/17/2013
Last Updated 01/07/2014
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name MATTHEW STEPHEN MATTHEW
Position PROPRIETOR
Phone (701) 757-1999
Fax (701) 757-0898
Practice Location
2750 S 26TH ST
SUITE C
GRAND FORKS ND, 58201-6432, US
Phone (701) 757-1999
Fax (701) 757-0898
Business Location
2750 S 26TH ST
SUITE C
GRAND FORKS ND, 58201-6432, US
Phone (701) 757-1999
Fax (701) 757-0898
Toxanomy
Taxonomy Code 207Q00000X
License State North Dakota
License Number 10982
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According to our database, Viscito Family Medicine, Pllc NPI is 1861828212, taxonomy code is 207Q00000X and license number is 10982, license state is located at North Dakota. Viscito Family Medicine, Pllc physically located at 2750 S 26th St, Grand Forks ND, 58201-6432. NPI Number 1033115704 has the healthcare provider type.

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1861828212 NPI number is provided on an as is basis without warranty of any kind. 1861828212 is maintained by the National Plan & Provider Enumeration System. The contents of Viscito Family Medicine, Pllc are for informational purposes only.