Individual
ELISE DICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
725 HAMLINE ST, GRAND FORKS, ND 58203-1400
(701) 780-6800
(605) 755-4012
Mailing address
2401 DEMERS AVE, GRAND FORKS, ND 58201
(701) 780-1891
(605) 755-4012
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
18724
ND
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/08/2019
Last updated
10/28/2022
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