Individual
DILLON F GROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSN, APRN, A-GNP-C
Contact information
Practice address
700 1ST AVE S, FARGO, ND 58103-1802
(701) 234-2000
Mailing address
220 2ND AVE E, HUNTER, ND 58048-4034
(715) 527-0157
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R43140
ND
363LA2200X
Adult Health Nurse Practitioner
R43140
ND
Other
Enumeration date
06/27/2019
Last updated
11/27/2023
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