Organization
NORTHERN NEUROSURGERY AND SPINE PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN JARED BROADWAY MD (OWNER)
(701) 356-7444
Entity
Organization
Contact information
Practice address
350 23RD AVE E STE 102, WEST FARGO, ND 58078-7401
(701) 356-7444
(855) 453-4956
Mailing address
350 23RD AVE E STE 102, WEST FARGO, ND 58078-7401
(701) 356-7444
(855) 453-4956
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
12/08/2019
Last updated
01/11/2024
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