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Individual

DR. CARLOS DANIEL MIRANDA III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
801 BROADWAY N, FARGO, ND 58102-3641
(701) 234-2000
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-6585

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
14198
ND
2080P0202X
Pediatric Cardiology Physician
14198
ND

Other

Enumeration date
09/02/2010
Last updated
07/10/2023
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