Organization
CANOPY MEDICAL CLINIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEIDI SELZLER-ECHOLA APRN (MEDICAL DIRECTOR)
(701) 264-5200
Entity
Organization
Contact information
Practice address
1411 32ND ST S STE 1, FARGO, ND 58103-6304
(701) 306-0943
Mailing address
1411 32ND ST S STE 1, FARGO, ND 58103-6304
(701) 264-5200
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/26/2019
Last updated
01/07/2025
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