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Individual

KARIS ANTONIA STENBACK IRVING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2101 ELM ST NE, FARGO, ND 58102-2417
(615) 918-0639
(612) 749-3990
Mailing address
2101 ELM ST NE, FARGO, ND 58102-2417
(615) 918-0639
(612) 749-3990

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
01065081A
IN
2084P0800X
Psychiatry Physician
Primary
136514
CA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
12/22/2006
Last updated
03/08/2024
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