Individual
GREGORY J BJERKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
801 BROADWAY N, FARGO, ND 58102-3641
(701) 234-5123
(701) 234-5124
Mailing address
PO BOX 2010, FARGO, ND 58122-0605
Taxonomy
Speciality
Code
Description
License number
State
207PT0002X
Medical Toxicology (Emergency Medicine) Physician
4428
ND
207R00000X
Internal Medicine Physician
Primary
4428
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
13616
—
ND
Enumeration date
07/18/2006
Last updated
04/06/2022
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