Individual
MARY O AALAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
801 BROADWAY N, FARGO, ND 58102-3641
(701) 234-2251
Mailing address
PO BOX 2010, FARGO, ND 58122-0605
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
01046046A
IN
2086S0127X
Trauma Surgery Physician
Primary
01046046A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103416964
—
MI
05
—
15748
—
ND
05
—
200124190
—
IN
05
—
2103404
—
OH
Enumeration date
08/02/2005
Last updated
03/29/2022
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