Individual
JONATHAN ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1301 N COLUMBIA RD STOP 9037, SUITE E270, GRAND FORKS, ND 58202-9037
(701) 777-5945
Mailing address
1301 N COLUMBIA RD STOP 9037, SUITE E270, GRAND FORKS, ND 58202-9037
(701) 777-5945
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
RL21219
ND
Other
Enumeration date
05/31/2024
Last updated
05/31/2024
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