Organization
BISMARCK NEPHROLOGY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELIZABETH SUNDBERG M.D., PH.D. (PRESIDENT)
(701) 223-3961
Entity
Organization
Contact information
Practice address
1714 N 9TH ST, BISMARCK, ND 58501-1837
(701) 223-3961
(701) 223-3971
Mailing address
1714 N 9TH ST, BISMARCK, ND 58501-1837
(701) 223-3961
(701) 223-3971
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
14150
—
ND
Enumeration date
05/14/2007
Last updated
08/22/2020
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