Organization
MIDWEST GASTROENTEROLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FAIZAN ALI KHAN DO (GASTROENTEROLOGY)
(630) 901-4143
Entity
Organization
Contact information
Practice address
1200 S COLUMBIA RD, GRAND FORKS, ND 58201-4036
(701) 780-5000
Mailing address
1320 WHITING RD NW UNIT 54, BEMIDJI, MN 56601-6629
(630) 901-4143
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
05/06/2020
Last updated
05/06/2020
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