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Organization
FIREFLY MEDICAL GROUP PLLC
Active
Organization
FIREFLY MEDICAL GROUP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE LOVAT MD (OWNER PROVIDER)
(701) 213-9620
Entity
Organization
Contact information
Practice address
2860 10TH AVE N STE 350, GRAND FORKS, ND 58203-2276
(701) 213-9620
(855) 731-1370
Mailing address
2860 10TH AVE N STE 350, GRAND FORKS, ND 58203-2276
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
—
NULL
1835P1200X
Pharmacotherapy Pharmacist
—
—
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
12/07/2021
Last updated
01/21/2022
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