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Organization

PSI SURGICAL CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARGARET S GILBERTSON (CLINIC MANAGER)
(701) 293-7408
Entity
Organization

Contact information

Practice address
3280 20TH ST S, FARGO, ND 58104-5917
(701) 293-7408
(701) 235-2099
Mailing address
3280 20TH ST S, FARGO, ND 58104-5917
(701) 293-7408
(701) 235-2099

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
025059
ND BLUE SHIELD
ND
01
0Q02PL
MN BLUE SHIELD
MN
Enumeration date
06/08/2006
Last updated
08/15/2007
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