Organization
DAKOTA PEDIATRIC GASTROENTEROLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY BLAUFUSS DO (OWNER)
(701) 532-2242
Entity
Organization
Contact information
Practice address
3284 51ST ST S UNIT 3, FARGO, ND 58104-7983
(701) 532-2242
Mailing address
3419 BOHNET BLVD N, FARGO, ND 58102-1248
(701) 532-2242
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
—
—
Other
Enumeration date
12/02/2025
Last updated
12/02/2025
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