Individual
UNKNOWN POONAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
701 E ROSSER AVE, BISMARCK, ND 58501-4457
(701) 751-9500
(701) 751-9508
Mailing address
701 E ROSSER AVE, BISMARCK, ND 58501-4457
(701) 751-9500
(701) 751-9508
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
RL22653
ND
Other
Enumeration date
09/05/2025
Last updated
09/05/2025
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