Individual
CLIFFORD T MAURIELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
801 BROADWAY N, FARGO, ND 58102-3641
(701) 234-2000
(701) 234-2345
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
2080P0208X
Pediatric Infectious Diseases Physician
Primary
0101247229
VA
2080P0208X
Pediatric Infectious Diseases Physician
12553
ND
2080P0208X
Pediatric Infectious Diseases Physician
56374
MN
Other
Enumeration date
06/26/2008
Last updated
11/20/2021
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