Individual
JERANE A FORSBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1500 24TH AVE SW, MINOT, ND 58701-6905
(701) 857-5150
(701) 857-5564
Mailing address
PO BOX 5010, MINOT, ND 58702-5010
(701) 418-8000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PAC0225
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
18261
—
ND
Enumeration date
10/16/2006
Last updated
12/22/2023
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