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Individual

NOWARAT SONGSIRIDEJ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
4535 NORTHERN SKY DR, BISMARCK, ND 58503-8538
(701) 323-8700
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-6585

Taxonomy

Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
5975
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1463995
ND
01
660002652
RR MEDICARE
ND
Enumeration date
10/17/2006
Last updated
02/21/2023
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