Individual
DR. PETER JOHN GURK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
900 42ND ST S, FARGO, ND 58103-2119
(701) 277-2603
Mailing address
900 42ND ST S, FARGO, ND 58103-2119
(701) 277-2603
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01062020A
IN
207Q00000X
Family Medicine Physician
30925
KY
207Q00000X
Family Medicine Physician
40954
TN
Other
Enumeration date
07/07/2006
Last updated
01/06/2016
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