Organization
DAKOTA CLINIC, LTD.
Active
Other names
Dakota Clinic, Ltd. at Innovis
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY G SOLBERG (ADMINISTRATOR-AUTHORIZED OFFICIAL)
(701) 364-3405
Entity
Organization
Contact information
Practice address
3000 32ND AVE S, FARGO, ND 58103-6132
(701) 364-8000
(701) 364-8078
Mailing address
PO BOX 6001, FARGO, ND 58108-6001
(701) 364-8000
(701) 364-8078
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10046
—
ND
Enumeration date
05/16/2006
Last updated
08/22/2020
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