Organization
ORTHOPAEDIC ASSOCIATES OF FARGO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY HAUGEN (CPA/CEO)
(701) 237-9712
Entity
Organization
Contact information
Practice address
2301 25TH ST S, FARGO, ND 58103-6104
(701) 237-9712
(701) 237-0922
Mailing address
2301 25TH ST S, FARGO, ND 58103-6104
(701) 237-9712
(701) 237-0922
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
16416
—
ND
Enumeration date
07/28/2006
Last updated
10/21/2009
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