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Organization
INSTITUTE OF SPECIALTY SURGERY LLC
Active
Organization
INSTITUTE OF SPECIALTY SURGERY LLC
Active
Other names
Institute for Special Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIM HAUGEN CPA (ADMINISTRATOR)
(701) 271-1045
Entity
Organization
Contact information
Practice address
2301 25TH ST S, SUITE H, FARGO, ND 58103-6104
(701) 271-1045
(701) 271-1044
Mailing address
2301 25TH ST S, SUITE H, FARGO, ND 58103-6104
(701) 271-1045
(701) 271-1044
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10846
—
ND
05
—
395014000
—
MN
Enumeration date
07/01/2006
Last updated
06/11/2010
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