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Individual

GARY L. KARLSTAD

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3035 DEMERS AVE, GRAND FORKS, ND 58201-4018
(701) 775-3151
(701) 775-3153
Mailing address
3035 DEMERS AVE, GRAND FORKS, ND 58201-4018
(701) 775-3151
(701) 775-3153

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
4071
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
12809
ND
01
1801
ND BLUE SHIELD
ND
Enumeration date
06/20/2005
Last updated
07/08/2007
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