Individual
ANTHONY MINKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
5225 23RD AVE S, FARGO, ND 58104-7927
(701) 799-9811
Mailing address
5225 23RD AVE S, FARGO, ND 58104-7927
(701) 417-2000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R40649
ND
Other
Enumeration date
07/02/2020
Last updated
08/12/2022
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