Organization
ST. ALEXIUS HEART & LUNG CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER A MILLER (PRACTICE DIRECTOR)
(701) 530-7448
Entity
Organization
Contact information
Practice address
310 N 10TH ST, BISMARCK, ND 58501-4516
(701) 530-7500
(701) 530-7484
Mailing address
310 N 10TH ST, BISMARCK, ND 58501-4516
(701) 530-7500
(701) 530-7484
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
—
—
207L00000X
Anesthesiology Physician
—
—
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
207RP1001X
Pulmonary Disease Physician
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
13317
—
ND
Enumeration date
09/21/2006
Last updated
12/10/2013
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