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Organization
FIRST LIGHT LIFESTYLE MEDICAL CLINIC PLLC
Active
Organization
FIRST LIGHT LIFESTYLE MEDICAL CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VOLNEY WILLETT MD (PRESIDENT)
(701) 483-6974
Entity
Organization
Contact information
Practice address
30 7TH ST W STE LL-50, DICKINSON, ND 58601-4335
(701) 483-6974
Mailing address
30 7TH ST W STE LL-50, DICKINSON, ND 58601-4335
(701) 483-6974
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/12/2022
Last updated
10/12/2022
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