Individual
DR. JOHN MARK ANDREW GINGERICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
213 2ND AVE NE, ROLLA, ND 58367-7153
(701) 477-3161
Mailing address
213 2ND AVE NE, ROLLA, ND 58367-7153
(701) 477-3161
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
PT20193
ND
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/11/2019
Last updated
09/27/2023
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