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Individual

DR. TRAJAN ALISTAIR CUELLAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2801 UNIVERSITY DR S, FARGO, ND 58103-6029
(701) 234-5673
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(352) 642-2704

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
20925
ND
208200000X
Plastic Surgery Physician
23151
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
024723200
FL
Enumeration date
06/09/2008
Last updated
06/05/2024
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