Individual
CHARLES C CANVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MBA
Contact information
Practice address
3000 32ND AVE S, FARGO, ND 58103-6132
(701) 364-8000
(573) 302-2268
Mailing address
1702 UNIVERSITY DR S, FARGO, ND 58103-4940
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
01060317A
IN
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
19268
ND
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
8603
NH
Other
Enumeration date
11/24/2010
Last updated
01/31/2023
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