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Individual

MARCO MOSER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
2422 20TH ST SW, JAMESTOWN, ND 58401
(701) 952-1050
(701) 952-3265
Mailing address
PO BOX 2010, FARGO, ND 58122-0605
(701) 234-1261

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R31189
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
15671
ND
Enumeration date
09/16/2010
Last updated
04/01/2019
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