# NORDIC FAMILY MEDICINE PC

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

## Provider details

- **NPI number:** 1679201578
- **Authorized official:** DR. HANS ERIK BJELLUM MD (OWNER)
- **Authorized official phone:** (701) 318-4407

## Contact information

- **Practice address:** 5621 36TH AVE S UNIT 200, FARGO, ND 58104-5270
- **Practice address phone:** (701) 977-9277
- **Mailing address:** 5621 36TH AVE S UNIT 200, FARGO, ND 58104-5270
- **Mailing address phone:** (701) 977-9277

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/10/2022
- **Last updated:** 08/10/2022