Individual
TODD D UNDERDAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
737 BROADWAY, FARGO, ND 58122-0001
(701) 234-6258
(701) 234-7334
Mailing address
737 BROADWAY, FARGO, ND 58122-0001
(701) 234-6258
(701) 234-7334
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R22985
ND
Other
Enumeration date
07/22/2006
Last updated
06/16/2014
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