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Individual

JON D DANGERFIELD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1220 SHEYENNE ST, WEST FARGO, ND 58078-2637
(701) 234-4445
(701) 234-4385
Mailing address
1220 SHEYENNE ST, WEST FARGO, ND 58078-2637
(701) 234-4445
(701) 234-4385

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
7503
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
17850
ND
05
18804
ND
Enumeration date
07/18/2006
Last updated
04/08/2013
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