Organization
PLASTIC SURGERY INSTITUTE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARGARET GILBERTSON (PRACTICE MANAGER)
(701) 293-7408
Entity
Organization
Contact information
Practice address
3280 20TH ST S, FARGO, ND 58104-5917
(701) 293-7408
(701) 235-2099
Mailing address
3280 20TH ST S, FARGO, ND 58104-5917
(701) 293-7408
(701) 235-2099
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
208600000X
Surgery Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03T03AB
BS MINNESOTA
MN
05
—
11131
—
ND
01
—
1163001
BS N DAKOTA
ND
05
—
834693300
—
MN
Enumeration date
10/26/2006
Last updated
01/03/2011
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