# CENTRAL DAKOTA FAMILY PHYSICIANS, PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Central Dakota Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720156664
- **Authorized official:** CHARLES D NYHUS MD (OWNER)
- **Authorized official phone:** (701) 324-4856

## Contact information

- **Practice address:** 922 LINCOLN AVE, HARVEY, ND 58341-1524
- **Practice address phone:** (701) 324-4856
- **Practice address fax:** (701) 324-4858
- **Mailing address:** 922 LINCOLN AVE, HARVEY, ND 58341-1524
- **Mailing address phone:** (701) 324-4856
- **Mailing address fax:** (701) 324-4858

## Taxonomy

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

## Other

- **Enumeration date:** 11/30/2006
- **Last updated:** 12/11/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 10310 | — | ND |