Individual
AUSTIN GLEN NAGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
430 OXFORD ST, GRAND FORKS, ND 58202-6092
(701) 777-4174
Mailing address
625 18TH ST SW, MINOT, ND 58701-3528
(701) 509-2908
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/12/2023
Last updated
10/12/2023
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