Organization
UNIVERSITY OF NORTH DAKOTA
Active
Organization
UNIVERSITY OF NORTH DAKOTA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN T MARTSOLF (DIRECTOR, DIVISION OF MEDICAL GENET)
(701) 777-4160
Entity
Organization
Contact information
Practice address
501 N COLUMBIA RD STOP 9037, ROOM 5918 MEDICAL SCHOOL, GRAND FORKS, ND 58202-9037
(701) 777-4160
(701) 777-6321
Mailing address
ROOM 5918 MEDICAL SCHOOL, 501 N COLUMBIA ROAD STOP 9037, GRAND FORKS, ND 58202-9037
(701) 777-4160
(701) 777-6321
Taxonomy
Speciality
Code
Description
License number
State
261QG0250X
Genetics Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
13120
—
ND
Enumeration date
03/20/2007
Last updated
08/22/2020
Update your record
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