Individual
JAIME JOSE VERANO CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5225 23RD AVE S, FARGO, ND 58104-7927
(701) 417-2575
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-9419
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
21732
ND
208M00000X
Hospitalist Physician
61990
MN
Other
Enumeration date
06/29/2014
Last updated
11/25/2024
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