Organization
MERITCARE MEDICAL GROUP
Active
Organization
MERITCARE MEDICAL GROUP
Active
Other names
MeritCare Edgeley
Organization subpart
No
Provider details
NPI number
Authorized official
LISA M CARLSON (CFO)
(701) 234-4811
Entity
Organization
Contact information
Practice address
506 2ND STREET, EDGELEY, ND 58433
(701) 493-2245
(701) 493-2750
Mailing address
506 2ND STREET, EDGELEY, ND 58433
(701) 493-2245
(701) 493-2750
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
07/10/2006
Last updated
10/15/2007
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