Individual
ANSON LI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
401 3RD ST SE, JAMESTOWN, ND 58401-4247
(701) 253-5300
(701) 253-5402
Mailing address
PO BOX 6001, FARGO, ND 58108-6001
(701) 253-5300
(701) 253-5402
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
11843
ND
208600000X
Surgery Physician
9700637
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
15695
—
ND
05
—
89131F0
—
NC
Enumeration date
07/14/2006
Last updated
12/14/2011
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