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Individual

JOSEPH B SLECKMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1702 UNIVERSITY DR S, FARGO, ND 58103-4940
(701) 364-3300
(701) 364-8906
Mailing address
PO BOX 6001, FARGO, ND 58108-6001
(701) 364-3300
(701) 364-8906

Taxonomy

Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
29183
MN
207RR0500X
Rheumatology Physician
Primary
4923
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
06335SL
MNBS #
ND
01
10016
NDBS #
MN
01
1285
NDBS #
ND
05
14356
ND
01
2284
NDBS #
ND
01
3200072
MEDICA #
ND
01
3200086
MEDICA #
ND
01
48617SL
MNBS #
MN
01
54828SL
MNBS #
MN
01
6430
NDBS #
MN
01
79889SL
MNBS #
ND
01
911594
AMERICA'S PPO/ARAZ #
ND
01
91643SL
MNBS #
ND
01
DA9011015589
PREFERRED ONE #
ND
01
ND200061
LHS #
ND
Enumeration date
06/28/2006
Last updated
08/26/2011
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