Individual
ABIOLA VICTORIA FASHANU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
736 BROADWAY N, FARGO, ND 58122-4421
(612) 345-1402
Mailing address
736 BROADWAY N, FARGO, ND 58122-4421
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT194377
PA
207RI0200X
Infectious Disease Physician
Primary
13272
ND
Other
Enumeration date
07/30/2009
Last updated
11/08/2022
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