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Individual

DR. OSCAR FERNANDEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
905 MAIN ST, LISBON, ND 58054-4334
(701) 683-6400
Mailing address
905 MAIN ST, LISBON, ND 58054-4334
(701) 683-6400

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
6119
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
12153
ND
Enumeration date
10/19/2005
Last updated
05/14/2015
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