Individual
BORIS M PERENCEVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1702 UNIVERSITY DR S, FARGO, ND 58103-4940
(701) 364-3300
(701) 364-8906
Mailing address
PO BOX 6001, FARGO, ND 58108-6001
(701) 364-3300
(701) 364-8906
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
8983
ND
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
8983
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11876
—
ND
01
—
142045
UCARE #
ND
01
—
1631609
AMERICA'S PPO/ARAZ #
ND
01
—
2001170
MEDICA #
ND
01
—
2002346
MEDICA #
ND
01
—
22005
NDBS #
ND
01
—
61G43PE
MNBS #
ND
01
—
DA9011029846
PREFERRED ONE #
ND
01
—
HP38336
HEALTHPARTNERS #
ND
01
—
ND200234
LHS #
ND
Enumeration date
07/08/2006
Last updated
09/11/2025
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