Individual
MR. DALE KEN FITZKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
3883 74TH AVE NE, FORT TOTTEN, ND 58335
(701) 766-1600
(701) 766-1626
Mailing address
132 14TH AVE NE, DEVILS LAKE, ND 58301-3301
(701) 662-4566
(701) 766-1626
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
R29497
ND
Other
Enumeration date
03/30/2007
Last updated
07/08/2007
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