Organization
MID DAKOTA CLINIC WORKLIFE
Active
Parent organization
MID DAKOTA CLINIC, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
MID DAKOTA CLINIC, INC.
Authorized official
MR. WILLIAM HEEGAARD (PRESIDENT)
(701) 364-4554
Entity
Organization
Contact information
Practice address
401 N 9TH ST, BISMARCK, ND 58501-4530
(701) 530-6010
(701) 530-6430
Mailing address
2700 STATE ST, BISMARCK, ND 58503-0669
(701) 530-6400
(701) 530-6430
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
236003
BCBSND
ND
Enumeration date
03/04/2008
Last updated
10/25/2022
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