Individual
HANS E BJELLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5621 36TH AVE S UNIT 200, FARGO, ND 58104-5270
(701) 977-9898
Mailing address
5621 36TH AVE S UNIT 200, FARGO, ND 58104-5270
(701) 977-9898
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
41143
MN
207Q00000X
Family Medicine Physician
Primary
8067
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0107352
MEDICA HEALTH PLANS
—
01
—
1021825
PREFERRED ONE
—
01
—
127724
U-CARE
—
01
—
1756909
FIRST HEALTH PLAN
—
01
—
559538000
MEDICAL ASSISTANCE
—
01
—
81D95BJ
BLUE CROSS BLUE SHIELD
—
01
—
941144
ARAZ GROUP AMERICAS PPO
—
01
—
COMP
MMSI
—
01
—
HP29758
HEALTH PARTNERS
—
01
—
P00442326
RR MEDICARE
MN
Enumeration date
10/28/2005
Last updated
08/15/2022
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