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Individual

ELIZABETH A FAUST

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3020 HICKORY ST N, FARGO, ND 58102-1748
(701) 306-1217
Mailing address
3020 HICKORY ST N, FARGO, ND 58102-1748
(701) 306-1217

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
32961
MN
2084P0800X
Psychiatry Physician
5768
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
16149
ND
05
546295900
MN
Enumeration date
07/18/2006
Last updated
09/04/2021
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