Individual
DAVID J GLATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2400 32ND AVE S, FARGO, ND 58103-5800
(701) 234-8330
(701) 234-3672
Mailing address
2400 32ND AVE S, FARGO, ND 58103-5800
(701) 234-8330
(701) 234-3672
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
28271
MN
207Q00000X
Family Medicine Physician
Primary
3775
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0121003
MEDICA
—
05
—
12348
—
ND
05
—
167588500
—
MN
01
—
1897
NDBC
—
01
—
896133
PREFRRED ONE
—
01
—
90792GL
MNBC
—
01
—
HP10483
HEALTHPARNTERS
—
Enumeration date
06/27/2006
Last updated
04/06/2022
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