Individual
ENEJ GASEVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
801 BROADWAY N, FARGO, ND 58102
(701) 234-2251
Mailing address
801 BROADWAY N, FARGO, ND 58102-3641
(701) 234-2251
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
11197
ND
208600000X
Surgery Physician
4301081391
MI
2086S0102X
Surgical Critical Care Physician
Primary
11197
ND
Other
Enumeration date
05/23/2007
Last updated
03/29/2022
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