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Organization

HANS BJELLUM MD PC

Active
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Organization

HANS BJELLUM MD PC

Active
Parent organization
HANS BJELLUM MD PC
Other names
7 Day Walk In Clinic
Organization subpart
Yes

Provider details

NPI number
Legal business name
HANS BJELLUM MD PC
Authorized official
HANS BJELLUM M.D. (CEO)
(701) 232-6211
Entity
Organization

Contact information

Practice address
1100 19TH AVE N, FARGO, ND 58102-5906
(701) 232-6211
Mailing address
6501 CITY WEST PKWY, EDEN PRAIRIE, MN 55344-3248
(952) 653-2525

Taxonomy

Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary

Other

Enumeration date
11/09/2012
Last updated
11/09/2012
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