Individual
CHARLENE C CARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2601 BROADWAY N, FARGO, ND 58102-6704
(701) 234-2900
(701) 234-2996
Mailing address
2601 BROADWAY N, FARGO, ND 58102-6704
(701) 234-2900
(701) 234-2996
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
7681
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10564
—
ND
Enumeration date
07/16/2006
Last updated
04/06/2022
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