Organization
NORTHERN FACIAL SURGEONS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHARLENE ANN SCHMALTZ (PRACTICE COORDINATOR)
(701) 255-4000
Entity
Organization
Contact information
Practice address
2331 TYLER PKWY, SUITE 4, BISMARCK, ND 58503-0871
(701) 255-4000
(701) 255-1992
Mailing address
2331 TYLER PKWY, SUITE 4, BISMARCK, ND 58503-0871
(701) 255-4000
(701) 255-1992
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
14755
—
ND
05
—
41455
—
ND
Enumeration date
02/15/2008
Last updated
06/25/2009
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