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Organization

MINOT STATE UNIVERSITY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAVID FULLER (PRESIDENT)
(701) 858-3000
Entity
Organization

Contact information

Practice address
500 UNIVERSITY AVE W, STUDENT HEALTH CENTER, MINOT, ND 58707-0001
(701) 858-3371
Mailing address
500 UNIVERSITY AVE W, STUDENT HEALTH CENTER, MINOT, ND 58707-0001
(701) 858-3371

Taxonomy

Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary

Other

Enumeration date
09/27/2012
Last updated
09/27/2012
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