Individual
DR. KRISTINA L GARRELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
801 BROADWAY N, FARGO, ND 58102-3641
(701) 234-2301
Mailing address
801 BROADWAY N, FARGO, ND 58102-3641
(701) 234-2301
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
MD00039712
WA
208800000X
Urology Physician
Primary
PT12493
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0195708
LABOR AND INDUSTRY
WA
01
—
5520GA
REGENCE
WA
05
—
841844
—
WA
01
—
P00254480
RAILROAD MEDICARE
WA
Enumeration date
06/29/2006
Last updated
07/21/2022
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