Individual
DR. MARC D. BASSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD, MBA
Contact information
Practice address
1301 N COLUMBIA RD, GRAND FORKS, ND 58202-6098
(701) 777-5973
(701) 777-5973
Mailing address
401 DESIREE DR, GRAND FORKS, ND 58201-2924
(248) 229-7970
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301077538
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1346254406
—
MI
Enumeration date
07/27/2006
Last updated
03/01/2023
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