Individual
ROGER L GILBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
737 BROADWAY, FARGO, ND 58122-0001
(701) 234-6960
(701) 234-6979
Mailing address
737 BROADWAY, FARGO, ND 58122-0001
(701) 234-6960
(701) 234-6979
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
16575
MN
2085R0202X
Diagnostic Radiology Physician
Primary
3152
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12364
—
ND
01
—
1624696
MEDICA
—
01
—
4617
NDBC
—
01
—
895001
PREFERRED ONE
—
01
—
90926GI
MNBC
—
01
—
HP10479
HEALTHPARTNERS
—
Enumeration date
06/28/2006
Last updated
07/08/2007
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