Individual
AMY JO RATAJCZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1517 32ND AVE S, FARGO, ND 58103-5905
(701) 232-6211
(701) 364-9346
Mailing address
207 MAIN ST, SABIN, MN 56580-4138
(218) 789-7169
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PAC0295
ND
Other
Enumeration date
05/09/2007
Last updated
07/08/2007
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