Individual
ENRIQUE TOBIAS PADER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2801 UNIVERSITY DR S, FARGO, ND 58103-6029
(701) 234-5673
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
15124
ND
207Q00000X
Family Medicine Physician
Q1518
TX
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
Primary
15124
ND
Other
Enumeration date
06/28/2012
Last updated
07/05/2024
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