Individual
MR. MILTIADIS DOUVOYIANNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1380 S COLUMBIA RD, GRAND FORKS, ND 58201-4059
(701) 795-2000
(701) 780-4477
Mailing address
2401 DEMERS AVE, GRAND FORKS, ND 58201
(701) 780-1891
(701) 780-4477
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
12926
ND
2080P0208X
Pediatric Infectious Diseases Physician
12926
ND
Other
Enumeration date
10/01/2012
Last updated
06/18/2020
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