# HANS BJELLUM MD PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1972769826
- **Authorized official:** HANS BJELLUM MD (OWNER)
- **Authorized official phone:** (320) 815-7555

## Contact information

- **Practice address:** 1517 32ND AVE S, FARGO, ND 58103-5905
- **Practice address phone:** (701) 232-6211
- **Practice address fax:** (701) 364-9346
- **Mailing address:** 4622 40TH AVE S, FARGO, ND 58104-4394
- **Mailing address phone:** (701) 232-6211
- **Mailing address fax:** (701) 364-9346

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | 41143 | MN | Yes |

## Other

- **Enumeration date:** 07/30/2008
- **Last updated:** 07/30/2008