Organization
SURGE FITNESS LLC
Active
Other names
Surge Aesthetics
Organization subpart
No
Provider details
NPI number
Authorized official
CORRIE LYNN ROGNESS FNP (OWNER/ PROVIDER)
(701) 748-3334
Entity
Organization
Contact information
Practice address
1000 HIGHWAY DR, HAZEN, ND 58545-4731
(701) 748-3334
Mailing address
1000 HIGHWAY DR, HAZEN, ND 58545-4731
(701) 748-3334
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
05/05/2020
Last updated
05/05/2020
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