Individual
STEVEN M BAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4344 20TH AVE S, FARGO, ND 58103-4434
(701) 293-8242
(701) 293-0909
Mailing address
4344 20TH AVE S, FARGO, ND 58103-4434
(701) 293-8242
(701) 293-0909
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
4403
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
13730
—
ND
Enumeration date
10/02/2006
Last updated
07/08/2007
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