Individual
MICHAEL L CASSIDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2500 FAIRWAY ST, DICKINSON, ND 58601
(701) 456-4000
Mailing address
2500 FAIRWAY ST, DICKINSON, ND 58601-2639
(701) 456-4000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
5054A
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1454455
—
ND
Enumeration date
07/20/2006
Last updated
08/01/2018
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