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Individual

DR. ELSON TAN LIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1031 5TH STREET, DEVILS LAKE, ND 58208-3780
(701) 662-9670
Mailing address
1031 5TH STREET, PO BOX 13780, DEVILS LAKE, ND 58208-3780
(701) 662-9670

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
01069427A
IN
207Q00000X
Family Medicine Physician
Primary
11939
ND

Other

Enumeration date
04/08/2011
Last updated
08/10/2011
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