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Individual

DENNIS G SOLLOM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1702 UNIVERSITY DR S, FARGO, ND 58103-4940
(701) 364-3300
(701) 364-8906
Mailing address
PO BOX 6001, FARGO, ND 58108-6001
(701) 364-3300
(701) 364-8906

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
5279
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
126895
UCARE #
ND
05
15146
ND
01
16583SO
MNBS #
ND
01
2222
NDBS #
ND
01
2300113
MEDICA #
ND
01
2300159
MEDICA #
ND
05
681203100
ND
01
911595
AMERICA'S PPO/ARAZ #
ND
01
DA9011015590
PREFERRED ONE #
ND
01
HP25769
HEALTHPARTNERS #
ND
01
ND200062
LHS #
ND
Enumeration date
07/06/2006
Last updated
03/07/2023
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