Individual
AMIT PANWALKAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
820 4TH ST N, FARGO, ND 58102-4539
(701) 234-6161
Mailing address
820 4TH ST N, FARGO, ND 58102-4539
(701) 234-6161
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
10919
ND
207RH0003X
Hematology & Oncology Physician
Primary
23682
NE
Other
Enumeration date
05/15/2007
Last updated
03/25/2022
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