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Organization
DR. BAUER-OLSON, FAMILY DOCTOR, PLLC
Active
Organization
DR. BAUER-OLSON, FAMILY DOCTOR, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHERYL K BAUER-OLSON DO (OWNER)
(701) 499-4847
Entity
Organization
Contact information
Practice address
4133 30TH AVE S STE 103, FARGO, ND 58104-8421
(701) 499-4847
(701) 433-1882
Mailing address
2413 E COUNTRY CLUB DR S, FARGO, ND 58103-5730
(701) 429-4385
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
14436
—
ND
05
—
1484174
—
ND
01
—
1588234066
NDBS
ND
05
—
1588234066
—
MN
01
—
4754236
BCBSMN
MN
Enumeration date
06/28/2021
Last updated
05/15/2023
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