# MEDICAL ARTS PHYSICIANS LTD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114199635
- **Authorized official:** DEYON M SUCHLA (MEDICAL PRACTICE MANAGER)
- **Authorized official phone:** (701) 476-8414

## Contact information

- **Practice address:** 614 DAKOTA AVE, WAHPETON, ND 58075-4300
- **Practice address phone:** (701) 642-4471
- **Practice address fax:** (701) 642-2878
- **Mailing address:** 614 DAKOTA AVE, WAHPETON, ND 58075-4300
- **Mailing address phone:** (701) 642-4471
- **Mailing address fax:** (701) 642-2878

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 3751 | ND | Yes |

## Other

- **Enumeration date:** 03/25/2008
- **Last updated:** 09/18/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 00545001 | BLUE SHIELD OF ND | ND |
| 05 | — | 12405 | — | ND |